Individual provider Active NPI

Qinyun Wang, M.D.

  • Ophthalmology Physician
  • San Francisco, CA
National Provider Identifier
1568856417
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A147423 Issued in CA
Practice address
548 Market St Ste 94433
San Francisco, CA 94104-5401
Phone
(415) 625-1025
Fax
(502) 385-6631
NPI assigned
Mar 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A147423 CA Primary

Addresses

Primary practice location

548 Market St Ste 94433
San Francisco, CA 94104-5401

Mailing address

548 Market St Ste 94433
San Francisco, CA 94104-5401
Phone (707) 319-2864

Other practice location 1

360 Post St Ste 1005
San Francisco, CA 94108-4913
Phone (415) 982-2020

Other practice location 2

595 Buckingham Way Ste 448
San Francisco, CA 94132-1912
Phone (415) 564-1060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A147423CAMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1568856417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 MARKET ST STE 94433",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941045401",
            "telephone_number": "707-319-2864",
            "fax_number": "502-385-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 MARKET ST STE 94433",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941045401",
            "telephone_number": "415-625-1025",
            "fax_number": "502-385-6631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Post St Ste 1005",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941084913",
            "country_code": "US",
            "telephone_number": "415-982-2020",
            "fax_number": "415-982-2011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "595 Buckingham Way Ste 448",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941321912",
            "country_code": "US",
            "telephone_number": "415-564-1060",
            "fax_number": "415-564-3368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "QINYUN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-27",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A147423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.