Individual provider Active NPI

Mary Wang, MD

  • Internal Medicine Physician
  • Rowland Heights, CA
National Provider Identifier
1669564811
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A61785 Issued in CA
Practice address
18395 Colima Rd
Rowland Heights, CA 91748-2749
Phone
(626) 964-1120
Fax
(626) 964-0590
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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 A61785 CA Primary

Addresses

Primary practice location

18395 Colima Rd
Rowland Heights, CA 91748-2749

Mailing address

1118 S Garfield Ave
201
Alhambra, CA 91801-4713
Phone (626) 281-0090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110518000734 CA Practitioner - Internal Medicine 9739113580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Liu and Wang Medical CorpGroup PAC ID 7315971165, 2 clinicians

Practice addresses (Care Compare)

18395 Colima Rd
Rowland Heights, CA 91748-2749
Phone (626) 964-1120

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A61785CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Liu & Wang Medical Corp Internal Medicine CurrentSince Jun 1, 2003 Accepting new patients
Liu & Wang Medical Corp Internal Medicine PastSince Jun 1, 2003 Accepting new patients
Ahmc Greater El Monte Comm Hosp LLC Past Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients

Locations

1118 S Garfield Ave
Ste 201
Alhambra, CA 91801
Phone (626) 281-0090

19267 Colima Rd
Ste I
Rowland Heights, CA 91748
Phone (626) 964-1120

18395 Colima Rd
Rowland Hghts, CA 91748
Phone (626) 328-8811

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1669564811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 S GARFIELD AVE",
            "address_2": "201",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014713",
            "telephone_number": "626-281-0090",
            "fax_number": "626-281-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18395 COLIMA RD",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917482749",
            "telephone_number": "626-964-1120",
            "fax_number": "626-964-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "MARY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A61785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowland Heights, CA

Sources for this page

Verify at the official NPI Registry.