Active NPI
David Wang, MD
- Hospice and Palliative Medicine (Emergency Medicine) Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Emergency Medicine) Physician
- License
- A131794
- Practice address
- 10010 Campus Point Dr
Mailbox CPC 305
San Diego, CA 92121-1518 - Phone
- (619) 452-7071
- NPI assigned
- Apr 29, 2013
- 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 |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Emergency Medicine) Physician | 207PH0002X | A131794 | CA | Primary |
Addresses
Primary practice location
10010 Campus Point Dr
Mailbox CPC 305
San Diego, CA 92121-1518
Mailing address
10010 Campus Point Drive
Mailbox CPC 305
San Diego, CA 92121-1518
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131794 | CA | MD | School Social Worker |
| A131794 | CA | MD | Hospice and Palliative Medicine (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Scripps Health Inpatient Providers Medical Group Inc. | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients |
Locations
435 H St
Chula Vista, CA 91910
Phone (619) 691-7000
10010 Campus Point Dr
#305
San Diego, CA 92121
Phone (619) 452-7071
4311 3rd Ave
Ste A
San Diego, CA 92103
4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245
Interoperability endpoints
- dwang36631@scrippshlth.medalliesdirect.net
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Advantage Health Systems | Hospice | Contracted Managing Employee | Feb 19, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- San Diego, CA
- NPI 1235414343
Contracted Managing Employee
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.
-
- Multi-Specialty Clinic/Center
- La Jolla, CA
- NPI 1699043000
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1659359446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516752000000",
"number": "1689019010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10010 CAMPUS POINT DRIVE",
"address_2": "MAILBOX CPC 305",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921211518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10010 CAMPUS POINT DR",
"address_2": "MAILBOX CPC 305",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921211518",
"telephone_number": "619-452-7071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-29",
"last_updated": "2018-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207PH0002X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Hospice and Palliative Medicine",
"state": "CA",
"license": "A131794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.