NPIMap

Individual provider Active NPI

Shuo Steven Wang, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1538232137
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A76144 Issued in CA
Practice address
711 W College St
Suite#210
Los Angeles, CA 90012-1163
Phone
(626) 679-5118
Fax
(213) 830-8998
NPI assigned
Nov 15, 2006
Last updated
Jan 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A76144 CA Primary

Addresses

Primary practice location

711 W College St
Suite#210
Los Angeles, CA 90012-1163

Mailing address

PO Box 10
Rosemead, CA 91770-0010
Phone (626) 679-5118

Other identifiers 1

IdentifierTypeStateIssuer
00A761440MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070221000284 CA Practitioner - Internal Medicine 3375645435 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, Irvine, California College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Global Physicians Resources IncGroup PAC ID 0547514010, 3 clinicians

Practice addresses (Care Compare)

711 W College St
Suite 188
Los Angeles, CA 90012-1093
Phone (213) 261-0889

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
La Community Health Center CurrentSince May 19, 2026 Accepting new patients
Premier Wound Care of Los Angeles Internal Medicine CurrentSince Nov 13, 2017 Accepting new patients
Shuo S. Wang M.D. Inc. Internal Medicine CurrentSince Aug 27, 2008 Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Marian a. Fedak M.D. Medical Corporation Past Accepting new patients
Dignity Health Past Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
Good Samaritan Hospital of Suffern Past Accepting new patients
Garfield Family Medicine PC PastSince Apr 27, 2025 Accepting new patients
White Memorial Medical Center Past Accepting new patients

Locations

711 W College St
Ste 205
Los Angeles, CA 90012
Phone (213) 620-9335

531 W College St
Los Angeles, CA 90012
Phone (213) 268-5000

711 W College St
Ste 188
Los Angeles, CA 90012
Phone (213) 261-0889

7335 Van Nuys Blvd
Ste 117
Van Nuys, CA 91405
Phone (747) 266-2666

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Foothill Heights Care CenterPasadena, CA, CCN 555894 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 19, 2019
Aug 19, 2019
Maple Healthcare CenterLos Angeles, CA, CCN 055036 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 2, 2023
Jan 2, 2023
University Park Healthcare CenterLos Angeles, CA, CCN 056206 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2023
Jan 1, 2023
Santa Monica Rehabilition CenterSanta Monica, CA, CCN 555808 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 5, 2024
Dec 5, 2024
Serene Hospice Care IncLa Crescenta, CA, CCN 921661 Hospice Contracted Managing Employee Sep 30, 2025
Tranquility Care Hospice Inc.Glendale, CA, CCN A11552 Hospice Contracted Managing Employee
Operational/Managerial Control		 Feb 12, 2020
Feb 12, 2020

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1538232137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917700010",
            "telephone_number": "626-679-5118",
            "fax_number": "213-830-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W COLLEGE ST",
            "address_2": "SUITE#210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121163",
            "telephone_number": "626-679-5118",
            "fax_number": "213-830-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "SHUO",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A76144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A761440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.