NPIMap

Individual provider Active NPI

Michael Minche Wang, MD

  • Internal Medicine Physician
  • Covina, CA
National Provider Identifier
1588623045
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A49214 Issued in CA
Practice address
315 N 3Rd Ave Ste 207
Covina, CA 91723-1917
Phone
(626) 967-4469
Fax
(626) 967-4889
NPI assigned
Mar 22, 2006
Last updated
Feb 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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 A49214 CA Primary

Addresses

Primary practice location

315 N 3Rd Ave Ste 207
Covina, CA 91723-1917

Mailing address

PO Box 4039
Orange, CA 92863-4039
Phone (714) 571-5000

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
I20100824000653 CA Practitioner - Internal Medicine 3375456825 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at San Antonio, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emanate Health Medical Care FoundationGroup PAC ID 9830544980, 85 clinicians

Practice addresses (Care Compare)

1115 S Sunset Ave
West Covina, CA 91790-3940

315 N 3Rd Ave
Suite 207
Covina, CA 91723-1917
Phone (626) 967-4469

420 W Rowland St
Covina, CA 91723-2943
Phone (626) 331-6411

824 E Carson St
Suite 104
Carson, CA 90745-2262
Phone (310) 830-9706

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions13
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49214CAMDGeneral Practice Dentistry
A49214CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Valley Physician Partners CurrentSince Dec 1, 2022 Accepting new patients
Emanate Health Medical Group CurrentSince Dec 1, 2022 Accepting new patients
Emanate Health Medical Care Foundation CurrentSince Jan 1, 2024 Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine CurrentSince Jun 27, 2017 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jun 27, 2017 Accepting new patients
Emanate Health Medical Group Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

14375 Pipeline Ave
Chino, CA 91710
Phone (626) 918-6544

210 W San Bernardino Rd
Covina, CA 91723
Phone (626) 858-8580

315 N 3rd Ave
Ste 207
Covina, CA 91723
Phone (626) 915-4700

420 W Rowland St
Covina, CA 91723
Phone (626) 331-6411

440 W Foothill Blvd
Glendora, CA 91741
Phone (626) 963-9402

601 Torrance Blvd
#1182
Redondo Beach, CA 90277

1115 S Sunset Ave
Ste 200
West Covina, CA 91790
Phone (626) 732-8390

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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 10

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

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1588623045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4039",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928634039",
            "telephone_number": "714-571-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N 3RD AVE STE 207",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231917",
            "telephone_number": "626-967-4469",
            "fax_number": "626-967-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "MICHAEL",
        "middle_name": "MINCHE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A49214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.