Victoria Wang MD Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

110942 Issued in CA

Legal business name

VICTORIA WANG MD INC.

Doing business as

Alta Dermatology

Practice address

27882 Forbes Rd
Suite 201
Laguna Niguel, CA 92677-1267

Phone

(949) 364-9264

NPI assigned

Jul 29, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Victoria N. Wang, MDNPI 1669638441

Title

Owner/Principal

Phone

(949) 364-9264

Specialties & licenses 1

Addresses

Other names 1

• Alta Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victoria Wang, MD

  • Dermatology Physician
  • Laguna Niguel, CA
  • NPI 1669638441
  Medicare reassignment Care Compare group NPD Authorized official
• Alyssa Nicole Flanders Ogden, PA-C

  • Physician Assistant
  • Laguna Niguel, CA
  • NPI 1942811617
  Medicare reassignment Care Compare group NPD
• Crystal Tran

  • Physician Assistant
  • Laguna Niguel, CA
  • NPI 1538898853
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1639587066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27882 FORBES RD",
            "address_2": "SUITE 201",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771267",
            "telephone_number": "949-364-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27882 FORBES RD",
            "address_2": "SUITE 201",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771267",
            "telephone_number": "949-364-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA WANG MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER/PRINCIPAL",
        "authorized_official_telephone_number": "949-364-9264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "110942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alta Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gracie Vaughn, LVN
• Kristina Louise Vellucci-Cook
• Veronica Chu OD Professional Corporation
• Megan Verrier, PT
• Kristy Kathleen Vetter, DDS
• Robert Villalobos
• Julia Isabel Velono Villanueva
• Vitruvianmd Inc
• Susan Vo
• Denise Voight

• Dermatology Physician in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.