Active NPI
Diana Grace Wang, MD
- Dermatology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A188389
- Practice address
- 200 UCLA Medical PLZ Ste 450
Los Angeles, CA 90095-0001 - Phone
- (310) 825-6911
- Fax
- (310) 794-7005
- NPI assigned
- Apr 20, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A188389 | CA | Primary |
Addresses
Primary practice location
200 UCLA Medical PLZ Ste 450
Los Angeles, CA 90095-0001
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
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
- Dermatology
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Medical Plaza
Los Angeles, CA 90095-0001
100 Medical PLZ
Suite 310
Los Angeles, CA 90095-0001
Phone (310) 825-7922
200 Medical Plaza
Los Angeles, CA 90095-0001
200 Medical PLZ
Los Angeles, CA 90095-0001
200 UCLA Medical PLZ
Suite 165 34
Los Angeles, CA 90095-0001
Phone (310) 824-8403
2001 Santa Monica Blvd
Suite 1070
Santa Monica, CA 90404-2202
Phone (310) 315-7900
2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381
900 Weyburn Place
Suite 14 171
Los Angeles, CA 90095-0001
Phone (310) 825-8173
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 40 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A188389 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Regents of the University of California | Current | Accepting new patients | |
| The Regents of the University of California | Current | Accepting new patients | |
| The Regents of the University of California | Dermatology | Current | Accepting new patients |
| UCLA Medical Group | Dermatology | Past | Accepting new patients |
Locations
24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252
File 55737
Los Angeles, CA 90074
200 UCLA Medical Plz
Ste 450
Los Angeles, CA 90095
Phone (310) 825-6911
200 UCLA Medical Plz
Ste 465
Los Angeles, CA 90095
Phone (310) 825-5510
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
100 Medical Plz
Ste 216
Los Angeles, CA 90095
Phone (310) 206-8662
200 Medical Plz
Ste 465
Los Angeles, CA 90095
Phone (310) 825-5510
892 Aerovista Pl
Ste 240
San Luis Obispo, CA 93401
Phone (805) 541-8252
2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381
100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500
100 Moody Ct
Ste 110
Thousand Oaks, CA 91360
Phone (805) 418-3500
Interoperability endpoints
- dwang892862@direct.uclahealth.org
Organizations & group practices 4
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
- Los Angeles, CA
- NPI 1235107566
-
- Dermatology Physician
- Los Angeles, CA
- NPI 1568431310
-
- Ambulatory Surgical Clinic/Center
- Valencia, CA
- NPI 1689200305
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1700406733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 UCLA MEDICAL PLZ STE 450",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900950001",
"telephone_number": "310-825-6911",
"fax_number": "310-794-7005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "DIANA",
"middle_name": "GRACE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-20",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A188389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.