Individual provider Active NPI

Victoria Wang, MD

  • Dermatology Physician
  • Laguna Niguel, CA
National Provider Identifier
1669638441
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A110942 Issued in CA
Practice address
27882 Forbes Rd
Suite 201
Laguna Niguel, CA 92677-1267
Phone
(949) 364-9264
Fax
(949) 364-9264
NPI assigned
Aug 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 036123058 IL
Dermatology Physician 207N00000X A110942 CA Primary

Addresses

Primary practice location

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

Mailing address

27882 Forbes Rd
Suite 201
Laguna Niguel, CA 92677-1267
Phone (949) 364-9264

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
I20100929000548 CA Practitioner - Dermatology 3274659016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, San Diego School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Victoria Wang MD IncGroup PAC ID 6002139235, 3 clinicians

Practice addresses (Care Compare)

27882 Forbes Rd
Suite 201
Laguna Niguel, CA 92677-1267
Phone (949) 364-9264

Hospital & facility affiliations

  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110

Merit-based Incentive Payment System (MIPS)

Final score
99.14 of 100Reported as group
Quality
98.28
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision178
Removal of skin lesions1418
Removal of skin cancer271
Removal or shaving of skin growth1-10
Skin biopsy746

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A110942CAMDDermatology Physician
036123058ILMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Wang MD Inc. Dermatology CurrentSince Nov 3, 2014 Accepting new patients
Tri-City Hospital Past Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients

Locations

27882 Forbes Rd
Ste 201
Laguna Niguel, CA 92677
Phone (949) 364-9264

Interoperability endpoints

  • Direct secure messaging: vwang@altadermatology.emadirect.md

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 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": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1669638441",
    "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",
            "fax_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",
            "fax_number": "949-364-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036123058",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A110942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.