NPIMap

Individual provider Active NPI

Wendy Chern Wan Tien, M.D.

  • Diagnostic Radiology Physician
  • Burbank, CA
National Provider Identifier
1740493048
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A99688 Issued in CA
Practice address
1624 W Olive Ave
Suite F
Burbank, CA 91506-2459
Phone
(818) 843-2835
Fax
(818) 843-3310
NPI assigned
May 7, 2007
Last updated
Feb 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A99688 CA Primary

Addresses

Primary practice location

1624 W Olive Ave
Suite F
Burbank, CA 91506-2459

Mailing address

1624 W Olive Ave
Suite F
Burbank, CA 91506-2459
Phone (818) 843-2835

Other identifiers 2

IdentifierTypeStateIssuer
A99688OtherCACALIFORNIA LICENSE NUMBER
1740493048OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090509000034 CA Practitioner - Diagnostic Radiology 0244263978 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Jefferson Medical College of Thomas Jefferson University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Geisinger-HM Joint Venture LLCGroup PAC ID 1355676370, 426 clinicians

Practice addresses (Care Compare)

Los Angeles, CA 90036
Phone (570) 271-6144

Altadena, CA 91001
Phone (570) 271-6144

100 N Academy Ave
Danville, PA 17822-4903

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A99688CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norcal Imaging Diagnostic Radiology CurrentSince Jan 23, 2018 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Jan 10, 2022 Accepting new patients
Stockton Diagnostic Imaging Diagnostic Radiology CurrentSince Jan 1, 2018 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Jan 10, 2022 Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Jan 1, 2018 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Oct 25, 2021 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Dec 24, 2014 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Jan 23, 2018 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Sep 23, 2017 Accepting new patients
Geisinger-HM Joint Venture LLC Diagnostic Radiology Current Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Past Accepting new patients

Locations

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707

2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234

1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843

27168 Newport Rd
Ste B
Menifee, CA 92584
Phone (951) 566-5725

1801 E March Ln
Ste A130
Stockton, CA 95210
Phone (209) 475-9871

1160 Pittsford Victor Rd
Ste D2
Pittsford, NY 14534
Phone (585) 218-8007

100 N Academy Ave
Danville, PA 17822

Organizations & group practices 12

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.

Hospital & facility affiliations 67

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1740493048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 W OLIVE AVE",
            "address_2": "SUITE F",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062459",
            "telephone_number": "818-843-2835",
            "fax_number": "818-843-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 W OLIVE AVE",
            "address_2": "SUITE F",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062459",
            "telephone_number": "818-843-2835",
            "fax_number": "818-843-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEN",
        "first_name": "WENDY",
        "middle_name": "CHERN WAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A99688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSE NUMBER",
            "identifier": "A99688",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1740493048",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.