Active NPI
Kai Chen Wang, PHD
- Pharmacist
- Rialto, CA
National Provider Identifier
1619418407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 76008
- Practice address
- 1280 W Foothill Blvd
Rialto, CA 92376-4686 - Phone
- (909) 879-0305
- NPI assigned
- Mar 14, 2017
- Last updated
- Mar 14, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH 76008 | CA | Primary |
Addresses
Primary practice location
1280 W Foothill Blvd
Rialto, CA 92376-4686
Mailing address
517 S Orange Ave Apt a
Monterey Park, CA 91755-7500
Phone (626) 589-9566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH 76008 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489449600000",
"number": "1619418407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 S ORANGE AVE APT A",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917557500",
"telephone_number": "626-589-9566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1280 W FOOTHILL BLVD",
"city": "RIALTO",
"state": "CA",
"postal_code": "923764686",
"telephone_number": "909-879-0305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "KAI CHEN",
"name_prefix": "Miss",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-14",
"last_updated": "2017-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 76008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rialto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.