Hongtao Alex Wang, M.D., PH.D.

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

A168782 Issued in CA

Practice address

1191 E Herndon Ave Ste 103
Fresno, CA 93720-3164

Phone

(559) 794-2168

Fax

(559) 272-1387

NPI assigned

Jul 6, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other names 1

• Dr. Alex Wang Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX, CA, OK, IL4 enrollments

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 4

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations (25 of 27)

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.

• Community Health Partners

  • Multi-Specialty Clinic/Center
  • Fresno, CA
  • NPI 1952912420
  Medicare reassignment NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299

  Pediatrics

  Medicare reassignment NPD
• Siu Physicians & Surgeons, Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Springfield, IL
  • NPI 1558385989
  Medicare reassignment NPD
• Warren Clinic Inc

  • General Practice Physician
  • Tulsa, OK
  • NPI 1174582282
  Medicare reassignment NPD
• Valley Gastroenterology Institute

  • Pediatric Gastroenterology Physician
  • Bakersfield, CA
  • NPI 1265312995
  NPD Authorized official
• Children'S Physician Services of South Texas

  • Plastic Surgery Physician
  • Corpus Christi, TX
  • NPI 1568658227
  Medicare reassignment
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Stockton, CA
  • NPI 1548343510

  Pediatrics

  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD
• Siu Physicians & Surgeons, Inc

  • Durable Medical Equipment & Medical Supplies
  • Springfield, IL
  • NPI 1164055976
  NPD

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1750678017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 E HERNDON AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203164",
            "telephone_number": "559-794-2168",
            "fax_number": "559-272-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 E HERNDON AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203164",
            "telephone_number": "559-794-2168",
            "fax_number": "559-272-1387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "726 N Medical Center Dr E Ste 209",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936116886",
            "country_code": "US",
            "telephone_number": "559-325-5656",
            "fax_number": "559-325-5568",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6701 Fannin St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302608",
            "country_code": "US",
            "telephone_number": "832-824-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6565 S Yale Ave Ste 420",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741368327",
            "country_code": "US",
            "telephone_number": "918-502-1700",
            "fax_number": "918-502-1715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 N Fresno St Ste 370",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937012363",
            "country_code": "US",
            "telephone_number": "559-459-2327",
            "fax_number": "559-459-1539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N 9th St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627025310",
            "country_code": "US",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-5018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "HONGTAO",
        "middle_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-06",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036.172476",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A168782",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "IL",
            "license": "036.172476",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "TX",
            "license": "R5678",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "CA",
            "license": "A168782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "gicare.net",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "practice info",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "practice info",
            "address_1": "1191 E Herndon Ave Ste 103",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937203164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "WANG",
            "prefix": "DR.",
            "credential": "M.D., PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Casey Wang
• Cecilia Wang
• Dora Wang, PHARMD
• Eden Wang, PHARMD
• Hongtao Wang
• Jason Vinland Wang, PHARMD
• Jingyi Wang
• Miao Wang
• Timothy Wang
• Victoria Wang

• Pediatric Gastroenterology Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Pediatric Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.