Dr. Nancy Wang, OD, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

11233T Issued in CA

Legal business name

DR. NANCY WANG, OD, INC.

Practice address

300 N Euclid Ave Ste a
Upland, CA 91786-6031

Phone

(909) 982-9002

Fax

(909) 982-9912

NPI assigned

Oct 19, 2007

Last updated

Feb 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nancy Wang, ODNPI 1750466264

Title

Owner

Phone

(909) 982-9002

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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.

• Nancy Wang, O.D.

  • Optometrist
  • Upland, CA
  • NPI 1750466264
  Medicare reassignment Authorized official
• Nataly Kalbakji, OD

  • Optometrist
  • Bakersfield, CA
  • NPI 1700556438

  Single Specialty

  Medicare reassignment NPD
• Minh an Hua, OD

  • Optometrist
  • Canoga Park, CA
  • NPI 1760072102
  NPD
• Cindy Nguyen, OD

  • Optometrist
  • Upland, CA
  • NPI 1811541097
  NPD

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1760671267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N EUCLID AVE STE A",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866031",
            "telephone_number": "909-982-9002",
            "fax_number": "909-982-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N EUCLID AVE STE A",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866031",
            "telephone_number": "909-982-9002",
            "fax_number": "909-982-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. NANCY WANG, OD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-982-9002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "11233T",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "11233T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0112330",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "OP112333",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr Gray Orthodontic Specialists
• Dr Kevin M Jenkins DO Inc
• Dr Tanya Optometry (Mintz Family Optometry)
• Dr. Aram Yeliazyan DDS
• Dr. Kim Optometry Upland Inc
• Dr. Samra Dental Corp
• Dr. Scott N. Ballinger Psychological Corp.
• Dr. Younes Safa Dental Corp.
• Lynne Anne Drewes, PA
• Ethan Du

• Primary Care Clinic/Center in Upland, CA
• Providers in Upland, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.