Individual provider Active NPI

Valerie Marie Wang, M.D.

  • Gynecology Physician
  • Honolulu, HI
National Provider Identifier
1629036843
Registry record updated Jan 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
17517 Issued in NV
Practice address
1319 Punahou St
Suite 610
Honolulu, HI 96826-1001
Phone
(808) 941-9600
Fax
(808) 941-2211
NPI assigned
May 4, 2006
Last updated
Jan 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD-10283 HI
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 17517 NV Primary

Addresses

Primary practice location

1319 Punahou St
Suite 610
Honolulu, HI 96826-1001

Mailing address

9260 W Sunset Rd
Ste 200
Las Vegas, NV 89148-4903
Phone (702) 255-3547

Other identifiers 1

IdentifierTypeStateIssuer
B22805-2OtherHIHMSA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131030000531 CA Practitioner - Obstetrics/Gynecology 3072401090 Reassigns benefits to 1 organization
I20180108001497 NV Practitioner - Obstetrics/Gynecology 3072401090

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-10283HIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrix Medical Group of Sacramento, P.C. Single Specialty CurrentSince Feb 16, 2020 Accepting new patients
Healthcare Partners Medical Group Coats LTD Single Specialty Current Accepting new patients
Valerie M Wang MD Inc Single Specialty PastSince Apr 19, 2002 Accepting new patients

Locations

50978 File
Los Angeles, CA 90074

1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000

1625 Stockton Blvd
Ste 205
Sacramento, CA 95816
Phone (916) 862-9900

2825 Capitol Ave
Sacramento, CA 95816
Phone (916) 887-0000

Organizations & group practices 3

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515110400000",
    "number": "1629036843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9260 W SUNSET RD",
            "address_2": "STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484903",
            "telephone_number": "702-255-3547",
            "fax_number": "702-255-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST",
            "address_2": "SUITE 610",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261001",
            "telephone_number": "808-941-9600",
            "fax_number": "808-941-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "VALERIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2018-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "HI",
            "license": "MD-10283",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NV",
            "license": "17517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "B22805-2",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.