Active NPI
Wellness & Care Medical, Inc.
- Geriatric Medicine (Family Medicine) Physician
- City of Industry, CA
National Provider Identifier
1619164753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- A98547
- Legal business name
- WELLNESS & CARE MEDICAL, INC.
- Practice address
- 1661 Hanover Rd
#201
City of Industry, CA 91748-1733 - Phone
- (626) 965-4628
- Fax
- (626) 965-4625
- NPI assigned
- Oct 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Yi Wang, M.D.
- Title
- Ceo
- Phone
- (626) 965-4628
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | A98547 | CA | Primary |
Addresses
Primary practice location
1661 Hanover Rd
#201
City of Industry, CA 91748-1733
Mailing address
1661 Hanover Rd
#201
City of Industry, CA 91748-1733
Phone (626) 965-4628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryNetworks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Family Medicine) Physician
- City of Industry, CA
- NPI 1427248319
-
- Adult Health Nurse Practitioner
- City of Industry, CA
- NPI 1720315443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228521600000",
"number": "1619164753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1661 HANOVER RD",
"address_2": "#201",
"city": "CITY OF INDUSTRY",
"state": "CA",
"postal_code": "917481733",
"telephone_number": "626-965-4628",
"fax_number": "626-965-4625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1661 HANOVER RD",
"address_2": "#201",
"city": "CITY OF INDUSTRY",
"state": "CA",
"postal_code": "917481733",
"telephone_number": "626-965-4628",
"fax_number": "626-965-4625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS & CARE MEDICAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-03",
"last_updated": "2008-12-06",
"status": "A",
"authorized_official_last_name": "WANG",
"authorized_official_first_name": "YI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "626-965-4628",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": "CA",
"license": "A98547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in City of Industry, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.