Individual provider Active NPI

Zui-Shiang Wang, M.D.

  • Specialist
  • Loma Linda, CA
National Provider Identifier
1740339100
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A4321420 Issued in CA
Practice address
11360 Mountain View Ave Ste B
Loma Linda, CA 92354-3834
Phone
(909) 796-8393
Fax
(909) 796-0783
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A4321420 CA Primary

Addresses

Primary practice location

11360 Mountain View Ave Ste B
Loma Linda, CA 92354-3834

Mailing address

11360 Mountain View Ave Ste B
Loma Linda, CA 92354-3834
Phone (909) 796-8393

Other identifiers 1

IdentifierTypeStateIssuer
00A321420MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A4321420CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1740339100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11360 MOUNTAIN VIEW AVE STE B",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543834",
            "telephone_number": "909-796-8393",
            "fax_number": "909-796-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11360 MOUNTAIN VIEW AVE STE B",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543834",
            "telephone_number": "909-796-8393",
            "fax_number": "909-796-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "ZUI-SHIANG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A4321420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A321420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.