Individual provider Active NPI

Shin-Chern Wang, MD

  • Surgery Physician
  • Riverside, CA
National Provider Identifier
1700019569
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A116864 Issued in CA
Practice address
4234 Riverwalk Pkwy Ste 120
Riverside, CA 92505-3304
Phone
(909) 418-2700
NPI assigned
Aug 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Internal Medicine) Physician 207RB0002X A116864 CA
Surgery Physician 208600000X A116864 CA Primary

Addresses

Primary practice location

4234 Riverwalk Pkwy Ste 120
Riverside, CA 92505-3304

Mailing address

4234 Riverwalk Pkwy Ste 120
Riverside, CA 92505-3304
Phone (909) 418-2700

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
I20170210000966 CA Practitioner - General Surgery 6608186689 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9525 Monte Vista Ave
Unit 105
Montclair, CA 91763-2208
Phone (909) 418-2700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.27 of 100Reported as group
Quality
77.47
Improvement activities
40
Cost
57.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
116864CAMDMental Health Counselor
A116864CAMDObesity Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
House Medicine Neurological Surgery CurrentSince Dec 17, 2025 Accepting new patients
Elite Bariatric Surgery & Wellness PC Surgery CurrentSince Dec 1, 2024 Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Dignity Health Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Mission Surgical Center Inc Past Accepting new patients
The Methodist Hospital Past Accepting new patients

Locations

1658 W Valley Blvd
Ste 220
Alhambra, CA 91803
Phone (626) 389-3762

900 S Main St
Ste 101
Corona, CA 92882

1206 W Avenue J
Lancaster, CA 93534

9525 Monte Vista Ave
Unit 105
Montclair, CA 91763
Phone (909) 626-1205

4234 Riverwalk Pkwy
Ste 120
Riverside, CA 92505
Phone (909) 418-2700

4234 Riverwalk Pkwy
Ste 150
Riverside, CA 92505

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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 2

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": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1700019569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 RIVERWALK PKWY STE 120",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053304",
            "telephone_number": "909-418-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4234 RIVERWALK PKWY STE 120",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053304",
            "telephone_number": "909-418-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "SHIN-CHERN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "CA",
            "license": "A116864",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A116864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.