Individual provider Active NPI

Jiangnan Wang, MD

  • Cardiovascular Disease Physician
  • Chino, CA
National Provider Identifier
1689680548
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A73460 Issued in CA
Practice address
13768 Roswell Ave Ste 118
Chino, CA 91710-1402
Phone
(909) 591-8200
Fax
(909) 591-8229
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X A73460 CA Primary

Addresses

Primary practice location

13768 Roswell Ave Ste 118
Chino, CA 91710-1402

Mailing address

13768 Roswell Ave 118
Chino, CA 91710-1402
Phone (909) 591-8200

Other practice location 1

13334 Limonite Ave Ste 130
Eastvale, CA 92880-7257
Phone (951) 407-1460

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
I20051007000659 CA Practitioner - Internal MedicinePractitioner - Family Practice 3971528092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Totalcare Walk in Clinic IncGroup PAC ID 2769566363, 4 clinicians

Practice addresses (Care Compare)

13334 Limonite Ave
Suite 130
Eastvale, CA 92880-7257
Phone (951) 407-1460

Hospital & facility affiliations

  • Solismed Home Health Care, Inc. Home health agency, Northridge, CA, CCN 757717
  • Cardinal Home Health Care Home health agency, Ontario, CA, CCN 059021
  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73460CAMDPharmacist
A73460CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Totalcare Walk in Clinic Inc Multi-Specialty CurrentSince Oct 28, 2007 Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Rancho Faculty Medical Associates, Inc. Multi-Specialty Past Accepting new patients

Locations

13768 Roswell Ave
Chino, CA 91710
Phone (480) 748-3971

13768 Roswell Ave
Ste 218
Chino, CA 91710
Phone (909) 464-9119

13768 Roswell Ave
Ste 118
Chino, CA 91710
Phone (909) 591-8200

2097 E Washington St
Ste 1C
Colton, CA 92324
Phone (909) 253-0841

1973 Foothill Pkwy
Unit 104
Corona, CA 92881
Phone (951) 460-2300

1973 Foothill Pkwy
Corona, CA 92881

13334 Limonite Ave
Ste 130
Eastvale, CA 92880
Phone (951) 407-1460

4784 Peck Rd
Ste A
El Monte, CA 91732
Phone (626) 205-1555

4784 Peck Rd
El Monte, CA 91732

14775 Jeffrey Rd
Ste C
Irvine, CA 92618
Phone (949) 200-7001

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3488/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jiangnan.wang.1@3488.direct.athenahealth.com

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 3

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1689680548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13768 ROSWELL AVE 118",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101402",
            "telephone_number": "909-591-8200",
            "fax_number": "909-591-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13768 ROSWELL AVE STE 118",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101402",
            "telephone_number": "909-591-8200",
            "fax_number": "909-591-8229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13334 Limonite Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Eastvale",
            "state": "CA",
            "postal_code": "928807257",
            "country_code": "US",
            "telephone_number": "951-407-1460",
            "fax_number": "866-701-9305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "JIANGNAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A73460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.