Individual provider Active NPI

Chen Wang, MD

  • Dermatology Physician
  • Stanford, CA
National Provider Identifier
1801280359
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A143851 Issued in CA
Practice address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone
(650) 723-4000
NPI assigned
Mar 23, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A143851 CA Primary

Addresses

Primary practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Mailing address

450 Broadway St FL C2
Redwood City, CA 94063-3132

Other practice location 1

450 Broadway St Fl C2
Redwood City, CA 94063-3132
Phone (650) 721-7190

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190606002435 CA Practitioner - Dermatology 4981925120 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Yale University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stanford Health CareGroup PAC ID 6709797491, 3,152 clinicians
Direct Dermatology Professionals PCGroup PAC ID 1153585948, 7 clinicians

Practice addresses (Care Compare)

1133 E Stanley Blvd
Suite 111
Livermore, CA 94550-4243
Phone (650) 723-4000

165 Saint Dominics Dr
Suite 120
Manteca, CA 95337-7802
Phone (855) 944-7546

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

420 Broadway St
Redwood City, CA 94063-3132
Phone (650) 723-4000

450 Broadway St
Redwood City, CA 94063-3132
Phone (650) 723-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
61 of 100Reported as group
Quality
59.41
Promoting interoperability
0
Improvement activities
40
Cost
71.45

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as group
Quality
87.08
Promoting interoperability
100
Improvement activities
40
Cost
69.51

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions834
Removal or shaving of skin growth25
Skin biopsy281

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A143851CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara Dermatology Current Accepting new patients
Direct Dermatology Professionals PC Dermatology CurrentSince May 31, 2022 Accepting new patients
County of Santa Clara Current Accepting new patients
Stanford Health Care CurrentSince May 13, 2019 Accepting new patients
Stanford Health Care CurrentSince May 13, 2019 Accepting new patients
LPCH Medical Group Div of Lucile CurrentSince May 13, 2019 Accepting new patients
Stanford Health Care Dermatology Current Accepting new patients
Permanente Medical Group Inc Dermatology CurrentSince Oct 30, 2020 Accepting new patients
County of Santa Clara CurrentSince Dec 1, 2019 Accepting new patients
County of Santa Clara CurrentSince Dec 1, 2019 Accepting new patients
County of Santa Clara Current Accepting new patients
Permanente Medical Group, Inc CurrentSince Oct 30, 2020 Accepting new patients
Permanente Medical Group Inc Dermatology Current Accepting new patients
Lucile Salter Packard Children's Hospital at Stanford Past Accepting new patients
County of Santa Clara Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients

Locations (25 of 34)

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

5305 N Fresno St
Ste 105
Fresno, CA 93710
Phone (510) 241-2884

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

911 Sunset Dr
Hollister, CA 95023
Phone (831) 626-2640

165 Saint Dominics Dr
Ste 120
Manteca, CA 95337
Phone (209) 823-0000

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

530 Lytton Ave
Fl 2
Palo Alto, CA 94301
Phone (415) 663-5584

228 Hamilton Ave
Fl 3
Palo Alto, CA 94301
Phone (844) 446-7455

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

450 Broadway St
Fl C2
Redwood City, CA 94063
Phone (650) 721-7190

450 Broadway St
Fl 2
Redwood City, CA 94063
Phone (650) 498-3931

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

450 Broadway St
Redwood City, CA 94063
Phone (650) 723-5643

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

8100 Timberlake Way
Ste F
Sacramento, CA 95823
Phone (916) 689-4889

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
Fl 5
San Jose, CA 95128

751 S Bascom Ave
Bldg Q
San Jose, CA 95128
Phone (408) 885-6770

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: cwang163376@direct.stanfordhealthcare.org
  • Direct secure messaging: cwang64237@santaclaravalley.direct-ci.net

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1801280359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 BROADWAY ST FL C2",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940633132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Broadway St Fl C2",
            "address_purpose": "LOCATION",
            "city": "Redwood City",
            "state": "CA",
            "postal_code": "940633132",
            "country_code": "US",
            "telephone_number": "650-721-7190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "CHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-23",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A143851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.