Greta Wangania

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95016974 Issued in CA

Practice address

775 E Foothill Blvd
Pomona, CA 91767-1223

Phone

(909) 621-6708

NPI assigned

Jun 18, 2020

Last updated

Nov 18, 2021By 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 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• California Wound Healing Medical Group Inc.

  • Surgical Physician Assistant
  • Alhambra, CA
  • NPI 1235333972

  Single Specialty

  Medicare reassignment NPD
• New Hope Podiatry Group Inc.

  • Foot & Ankle Surgery Podiatrist
  • Alhambra, CA
  • NPI 1447670955

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1760008452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 E FOOTHILL BLVD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671223",
            "telephone_number": "909-621-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 E FOOTHILL BLVD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671223",
            "telephone_number": "909-621-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANGANIA",
        "first_name": "GRETA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95043891",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leeann Linda Wang
• Michelle Wang
• Vera Wang
• Wendy Wang, OTR/L
• Yien-Nan Wang, DDS
• Celine Wanwatanakool
• Uzma Afzal Waraich, M.D.
• Princess Alexandria Ward-Bankhead, COMMUNITY HEALTH WOR
• Daisy M Ward
• Michelle D Ward, M.D.

• Family Nurse Practitioner in Pomona, CA
• Providers in Pomona, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.