Organization Active NPI

Nancy S. Wang, MD Inc.

  • Ophthalmology Physician
  • Santa Monica, CA
National Provider Identifier
1679628093
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A45076 Issued in CA
Legal business name
NANCY S. WANG, MD INC.
Practice address
1807 Wilshire Blvd
Ste. 203
Santa Monica, CA 90403-5652
Phone
(310) 829-0160
Fax
(310) 829-0170
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Nancy S. Wang, M.D.
Title
Opthalmologis
Phone
(310) 829-0160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X A45076 CA Primary

Addresses

Primary practice location

1807 Wilshire Blvd
Ste. 203
Santa Monica, CA 90403-5652

Mailing address

1807 Wilshire Blvd
Ste. 203
Santa Monica, CA 90403-5652
Phone (310) 829-0160

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1679628093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 WILSHIRE BLVD",
            "address_2": "STE. 203",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035652",
            "telephone_number": "310-829-0160",
            "fax_number": "310-829-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 WILSHIRE BLVD",
            "address_2": "STE. 203",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035652",
            "telephone_number": "310-829-0160",
            "fax_number": "310-829-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY S. WANG, MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OPTHALMOLOGIS",
        "authorized_official_telephone_number": "310-829-0160",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A45076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.