Organization Active NPI

James Y. Wang, MD, Inc.

Doing business as Metropolis Dermatology

  • Dermatology Physician
  • Los Angeles, CA
National Provider Identifier
1538640669
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A123156 Issued in CA
Legal business name
JAMES Y. WANG, MD, INC.
Doing business as
Metropolis Dermatology
Practice address
888 S Figueroa St Ste 1050
Los Angeles, CA 90017-5310
Phone
(909) 684-4404
NPI assigned
Aug 27, 2018
Last updated
Aug 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Authorized official

Name
Gabrielle Gonzalez
Title
Credentialing Officer
Phone
(909) 684-4404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A123156 CA Primary

Addresses

Primary practice location

888 S Figueroa St Ste 1050
Los Angeles, CA 90017-5310

Mailing address

888 S Figueroa St Ste 1050
Los Angeles, CA 90017-5310
Phone (909) 684-4404

Other names 1

  • Metropolis Dermatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190116000720 CA Part B Supplier - Clinic/Group Practice 7618213406 Receives reassigned benefits from 20 practitioners
Practice locations: Pasadena, CA; San Jose, CA; Los Angeles, CA; Costa Mesa, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2165086James Y. Wang, MD, Inc.888 S Figueroa St, Ste 1050, Los Angeles, CA 90017ComplianceOct 18, 2026

National Provider Directory

National Provider Directory

Locations

3080 Bristol St
Ste 650
Costa Mesa, CA 92626
Phone (213) 319-3339

11645 Wilshire Blvd
Ste 900
Los Angeles, CA 90025
Phone (310) 442-9188

888 S Figueroa St
Ste 1050
Los Angeles, CA 90017
Phone (213) 319-3339

70 S Lake Ave
Ste 930
Pasadena, CA 91101
Phone (626) 514-1472

111 N Market St
Ste 1000
San Jose, CA 95113
Phone (408) 581-0161

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1538640669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 S FIGUEROA ST STE 1050",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900175310",
            "telephone_number": "909-684-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 S FIGUEROA ST STE 1050",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900175310",
            "telephone_number": "909-684-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES Y. WANG, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_title_or_position": "CREDENTIALING OFFICER",
        "authorized_official_telephone_number": "909-684-4404"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A123156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metropolis Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.