Individual provider Active NPI

Chonghua Wang, M.D.

  • Interventional Pain Medicine Physician
  • Riverside, CA
National Provider Identifier
1760748859
Registry record updated Sep 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A128621 Issued in CA
Practice address
3762 Tibbetts St
Riverside, CA 92506-2605
Phone
(949) 414-7246
Fax
(949) 757-3846
NPI assigned
Apr 3, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X A128621 CA Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X A128621 CA

Addresses

Primary practice location

3762 Tibbetts St
Riverside, CA 92506-2605

Mailing address

3762 Tibbetts St
Riverside, CA 92506-2605
Phone (949) 414-7246

Other practice location 1

10961 Westminster Ave
Garden Grove, CA 92843-4929
Phone (949) 414-7246

Other names 1

  • Carl Wang Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170623002422 TX Practitioner - Pain ManagementPractitioner - Anesthesiology 4880962315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
JS Weill Medical College, Cornell University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tricity Pain Associates, PAGroup PAC ID 9830359181, 19 clinicians

Practice addresses (Care Compare)

1110 Cottonwood LN
Suite 110
Irving, TX 75038-6121
Phone (844) 789-7246

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A128621CAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tricity Pain Associates PA Interventional Pain Medicine CurrentSince Oct 1, 2019 Accepting new patients
Tricity Pain Associates PA Pain Medicine CurrentSince Oct 1, 2019 Accepting new patients
Tricity Anesthesia Associates PLLC Pain Medicine Past Accepting new patients

Locations

4325 N Josey Ln
Ste 206
Carrollton, TX 75010
Phone (214) 915-8515

1110 Cottonwood Ln
Ste 110
Irving, TX 75038
Phone (972) 472-7181

717 Generations Dr
Ste B
New Braunfels, TX 78130
Phone (830) 264-8189

110 Stone Oak Loop
Ste 103
San Antonio, TX 78258
Phone (210) 268-0156

19141 Stone Oak Pkwy
Ste 104
San Antonio, TX 78258
Phone (210) 756-5989

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757203200000",
    "number": "1760748859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3762 TIBBETTS ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062605",
            "telephone_number": "949-414-7246",
            "fax_number": "949-757-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3762 TIBBETTS ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062605",
            "telephone_number": "949-414-7246",
            "fax_number": "949-757-3846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10961 Westminster Ave",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928434929",
            "country_code": "US",
            "telephone_number": "949-414-7246",
            "fax_number": "949-757-3846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "CHONGHUA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-03",
        "last_updated": "2025-09-07",
        "certification_date": "2025-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A128621",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A128621",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARL",
            "last_name": "WANG",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.