Active NPI
Tungho Wang, M.D.
- Neonatal-Perinatal Medicine Physician
- San Jose, CA
National Provider Identifier
1700841269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- A052426
- Practice address
- 3880 S Bascom Ave
San Jose, CA 95124-2675 - Phone
- (408) 377-8100
- NPI assigned
- Apr 19, 2006
- Last updated
- Jul 16, 2007
- 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 |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | A052426 | CA | Primary |
Addresses
Primary practice location
3880 S Bascom Ave
San Jose, CA 95124-2675
Mailing address
3880 S Bascom Ave Ste 208
San Jose, CA 95124-2675
Phone (408) 377-8100
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111103000272 | CA | Order and Referring Only - Pediatric Medicine | 0941473102 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52426 | CA | MD | Periodontist |
| A052426 | CA | MD | Neonatal-Perinatal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1700841269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3880 S BASCOM AVE STE 208",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951242675",
"telephone_number": "408-377-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3880 S BASCOM AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951242675",
"telephone_number": "408-377-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "TUNGHO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-19",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "CA",
"license": "A052426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.