Active NPI
Amy Qiu Wang, MD
- Hematology & Oncology Physician
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- A72227
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A722270 | Medicaid | CA |
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
- Hematology/Oncology
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin J Ma, M.D., a Professional Corporation | Hematology & Oncology | Current | 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
- amy.wang.p5@direct.scoa.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Hematology & Oncology Physician
- Los Angeles, CA
- NPI 1174685846
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1215373626
-
- General Acute Care Hospital
- Norwalk, CA
- NPI 1669429221
-
- Pediatric Skilled Nursing Facility
- San Bernardino, CA
- NPI 1851395685
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1104981661
-
- Skilled Nursing Facility
- Glendale, CA
- NPI 1114916293
-
- Rehabilitation Hospital Unit
- Long Beach, CA
- NPI 1396791414
-
- Children's Hospital
- Long Beach, CA
- NPI 1477596583
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1518067586
-
- Psychiatric Hospital Unit
- San Pedro, CA
- NPI 1154349371
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
-
- Hematology & Oncology Physician
- Downey, CA
- NPI 1275651515
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.