Active NPI
Tei Chen Wang, M.D.
- Internal Medicine Physician
- West Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A30323
- Practice address
- 1500 W West Covina Pkwy
Ste 100
West Covina, CA 91790-2708 - Phone
- (626) 856-2226
- Fax
- (626) 960-2125
- NPI assigned
- May 10, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A30323 | CA | Primary |
Addresses
Primary practice location
1500 W West Covina Pkwy
Ste 100
West Covina, CA 91790-2708
Mailing address
8510 Balboa Blvd 150
Northridge, CA 91325-5810
Phone (818) 637-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A303230 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1969
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 W W Covina Pkwy
West Covina, CA 91790-2708
Phone (626) 430-9991
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.57 of 100
- Quality
- 62.42
- Promoting interoperability
- 76
- Improvement activities
- 40
- Cost
- 76.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A30323 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeside Medical Organization, a Medical Group Inc. | Internal Medicine | Current | Accepting new patients |
| Lakeside Medical Associates, a Medical Group, Inc. | Internal Medicine | Past | Accepting new patients |
Locations
191 S Buena Vista St
Ste 200
Burbank, CA 91505
Phone (818) 887-2671
777 Flower St
Ste A
Glendale, CA 91201
Phone (818) 637-2000
8510 Balboa Blvd
Ste 150
Northridge, CA 91325
Phone (818) 637-2000
2755 Alamo St
Ste 100
Simi Valley, CA 93065
Phone (626) 791-9004
1500 W West Covina Pkwy
Ste 100
West Covina, CA 91790
Phone (626) 338-7233
1500 W West Covina Pkwy
West Covina, CA 91790
Phone (626) 430-9991
1500 W West Covina Pkwy
Fl 1
West Covina, CA 91790
1500 W West Covina Pkwy
Ste 1021ST
West Covina, CA 91790
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- teichen.wang.p1@direct.lakeside.nextgenshare.com
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- West Hills, CA
- NPI 1831426642
-
- Hospitalist Physician
- Glendale, CA
- NPI 1932129434
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449187200000",
"number": "1679523906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8510 BALBOA BLVD 150",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913255810",
"telephone_number": "818-637-2000",
"fax_number": "818-654-3417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 W WEST COVINA PKWY",
"address_2": "STE 100",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902708",
"telephone_number": "626-856-2226",
"fax_number": "626-960-2125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "TEI CHEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2015-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A30323",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A303230",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.