Kathy CHI Kuan Wang, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC31924 Issued in CA

Practice address

24953 Paseo de Valencia Ste 6a
Laguna Hills, CA 92653-4342

Phone

(949) 643-5030

Fax

(949) 643-5209

NPI assigned

Mar 30, 2011

Last updated

Sep 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clark Wang Chiropractic IncGroup PAC ID 4688030646, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan Patrick Clark, D.C.

  • Chiropractor
  • Laguna Hills, CA
  • NPI 1174808588
  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clark Wang Chiropractic Inc.

  • Chiropractor
  • Laguna Hills, CA
  • NPI 1063123594
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1730478793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24953 PASEO DE VALENCIA STE 6A",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534342",
            "telephone_number": "949-643-5030",
            "fax_number": "949-643-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24953 PASEO DE VALENCIA STE 6A",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534342",
            "telephone_number": "949-643-5030",
            "fax_number": "949-643-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "KATHY",
        "middle_name": "CHI KUAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-30",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC31924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter S Green, M.D. Medical Corporation
• Walter S Kantor DPM Inc
• Daniel C Walters, MD
• Christopher Jiu Long Wang, LAC
• Joyce Tzonghway Wang
• Livia Wang, PHARMD.
• Ruihua Wang
• Ti Ya Wang
• Valerie Want
• Jordan Ward

• Chiropractor in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.