Active NPI
Jun Wang, DO
- Psychiatry Physician
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 20A19469
- Practice address
- 4040 Barranca Pkwy Ste 260
Irvine, CA 92604-4780 - Phone
- (925) 282-1778
- NPI assigned
- Apr 25, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0064977 | CO | |
| Psychiatry Physician | 2084P0800X | 20A19469 | CA | Primary |
Addresses
Primary practice location
4040 Barranca Pkwy Ste 260
Irvine, CA 92604-4780
Mailing address
4040 Barranca Pkwy Ste 260
Irvine, CA 92604-4780
Other practice location 1
10099 Ridgegate Pkwy Ste 200
Lone Tree, CO 80124-5532
Phone (720) 874-2476
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241017002663 | CA | Practitioner - Psychiatry | 7517499387 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Touro Un College of Osteopathic Medicine, Vallejo, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Pacific Coast Psychiatric Associates Inc
Practice addresses (Care Compare)
4040 Barranca Pkwy
Suite 260
Irvine, CA 92604-4780
Phone (925) 282-1778
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A19469 | CA | MD | Psychiatry Physician |
| 0064977 | CO | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Coast Psychiatric Associates Inc | Psychiatry | Current | Accepting new patients |
Locations
4040 Barranca Pkwy
Ste 260
Irvine, CA 92604
4010 Barranca Pkwy
Ste 260
Irvine, CA 92604
490 Post St
Ste 1043
San Francisco, CA 94102
Phone (415) 409-0944
Interoperability endpoints
- jun.wang@hca3.eclinicaldirectplus.com
- lifestancehealth.junwang@148377.advancedmd-direct.com
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.
-
- Clinical Psychologist
- Scottsdale, AZ
- NPI 1023125465
CA, Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1780172734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4040 BARRANCA PKWY STE 260",
"city": "IRVINE",
"state": "CA",
"postal_code": "926044780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 BARRANCA PKWY STE 260",
"city": "IRVINE",
"state": "CA",
"postal_code": "926044780",
"telephone_number": "925-282-1778"
}
],
"practiceLocations": [
{
"address_1": "10099 Ridgegate Pkwy Ste 200",
"address_purpose": "LOCATION",
"city": "Lone Tree",
"state": "CO",
"postal_code": "801245532",
"country_code": "US",
"telephone_number": "720-874-2476",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "JUN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-25",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "0064977",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "20A19469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.