Individual provider Active NPI

Amy Qiu Wang, MD

  • Hematology & Oncology Physician
  • Glendale, CA
National Provider Identifier
1720155609
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A72227 Issued in CA
Practice address
222 W Eulalia St
Ste 100-B
Glendale, CA 91204-2849
Phone
(818) 637-7611
Fax
(818) 637-5106
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X A72227 CA Primary

Addresses

Primary practice location

222 W Eulalia St
Ste 100-B
Glendale, CA 91204-2849

Mailing address

1043 Elm Ave
Ste 104
Long Beach, CA 90813-3271
Phone (562) 590-0345

Other identifiers 1

IdentifierTypeStateIssuer
00A722270MedicaidCA

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
I20040429001612 CA Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Medical Oncology 7012904097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin J Ma MD a Professional CorporationGroup PAC ID 8325934482, 12 clinicians

Practice addresses (Care Compare)

10807 Laurel St
Suite 230
Rancho Cucamonga, CA 91730-0633
Phone (909) 758-0913

1149 W 190TH St
Suite 2000
Gardena, CA 90248-4334
Phone (424) 329-0074

1473 Ford St
Suite 104
Redlands, CA 92373-3915
Phone (909) 307-1250

1700 Cesar E Chavez Ave
Suite 3500
Los Angeles, CA 90033-2480
Phone (323) 264-0430

1700 E Cesar E Chavez Ave
Suite 3500
Los Angeles, CA 90033-2480

412 W Carroll Ave
Suite 210
Glendora, CA 91741-4712
Phone (626) 335-2277

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Austin J Ma, M.D., a Professional Corporation Hematology & Oncology CurrentSince Nov 8, 2021 Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
The Oncology Institute Ca, a Professional Corporation Hematology & Oncology Past Accepting new patients
Coast Plaza Doctors Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
CHLB, LLC Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients

Locations

2140 Grand Ave
Ste 230
Chino Hills, CA 91709
Phone (909) 244-8902

1149 W 190th St
Ste 2000
Gardena, CA 90248
Phone (424) 329-0074

412 W Carroll Ave
Ste 210
Glendora, CA 91741
Phone (626) 335-2277

1700 E Cesar E Chavez Ave
Ste 1200
Los Angeles, CA 90033
Phone (323) 264-7238

1700 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 264-0430

1700 E Cesar E Chavez Ave
Ste 3500
Los Angeles, CA 90033
Phone (323) 264-0430

25405 Hancock Ave
Ste 211
Murrieta, CA 92562
Phone (951) 677-9099

1851 Lombard St
Ste 105
Oxnard, CA 93030
Phone (805) 278-5950

10807 Laurel St
Ste 230
Rancho Cucamonga, CA 91730
Phone (909) 758-0913

71777 San Jacinto Dr
Ste 1
Rancho Mirage, CA 92270
Phone (760) 969-6505

72301 Country Club Dr
Ste 109
Rancho Mirage, CA 92270
Phone (760) 610-5037

1473 Ford St
Ste 104
Redlands, CA 92373
Phone (909) 307-1250

3475 Torrance Blvd
Ste G
Torrance, CA 90503
Phone (310) 316-0189

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: amy.wang.p5@direct.scoa.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: amy.wang.p1@direct.lakeside.nextgenshare.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1720155609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 ELM AVE",
            "address_2": "STE 104",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133271",
            "telephone_number": "562-590-0345",
            "fax_number": "562-437-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W EULALIA ST",
            "address_2": "STE 100-B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042849",
            "telephone_number": "818-637-7611",
            "fax_number": "818-637-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "AMY",
        "middle_name": "QIU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A72227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A722270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.