Stewart Wang MD Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G85318 Issued in CA

Legal business name

STEWART WANG MD INC

Practice address

440 N Mountain Ave
Suite 307
Upland, CA 91786-5183

Phone

(909) 985-6513

NPI assigned

Oct 19, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stewart Wang

Title

Owner

Phone

(909) 985-6513

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1508119157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N MOUNTAIN AVE",
            "address_2": "SUITE 307",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865183",
            "telephone_number": "909-985-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N MOUNTAIN AVE",
            "address_2": "SUITE 307",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865183",
            "telephone_number": "909-985-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWART WANG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "STEWART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-985-6513"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G85318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty Marie Stevens, M.F.T.
• Bryan M. Stevens, D.D.S.
• Gloria Jane Stevens, M.D.
• Walter E Stevens Jr., M.D.
• Bernadette Steverson, ARDMS
• Thurma Stewart, LMFT
• Sean D Stitt, AMFT
• Morgan Rochelle Stokes, CLINICAL SOCIAL WORK
• Travis Raymond-Charlie Stone
• Forrest Jay Stowells III, DDS

• Plastic Surgery Physician in Upland, CA
• Providers in Upland, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.