Individual provider Active NPI

Cheng Chan Wang, L.AC.

  • Acupuncturist
  • El Monte, CA
National Provider Identifier
1760892764
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 15992 Issued in CA
Practice address
9939 Garvey Ave Ste a
El Monte, CA 91733-4712
Phone
(264) 420-8006
Fax
(626) 442-3800
NPI assigned
Apr 30, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 15992 CA Primary

Addresses

Primary practice location

9939 Garvey Ave Ste a
El Monte, CA 91733-4712

Mailing address

9939 Garvey Ave Ste a
El Monte, CA 91733-4712
Phone (626) 442-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC 15992CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Peter Wang Chiropractic Corp. Acupuncturist CurrentSince Mar 17, 2024 Accepting new patients

Locations

9939 Garvey Ave
Ste A
El Monte, CA 91733
Phone (626) 442-0800

Organizations & group practices 1

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": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1760892764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9939 GARVEY AVE STE A",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917334712",
            "telephone_number": "626-442-0800",
            "fax_number": "626-442-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9939 GARVEY AVE STE A",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917334712",
            "telephone_number": "264-420-8006",
            "fax_number": "626-442-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "CHENG CHAN",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-30",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 15992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.