Active NPI
Jia-CHI Wang
- Clinical Cytogenetics Physician
- Duarte, CA
National Provider Identifier
1801403688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cytogenetics Physician
- License
- DRM-01007329
- Practice address
- 1500 Duarte Rd
Duarte, CA 91010-3012 - Phone
- (626) 218-3896
- Fax
- (626) 218-8877
- NPI assigned
- Sep 25, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cytogenetics Physician | 207SC0300X | DRM-01007329 | CA | Primary |
Addresses
Primary practice location
1500 Duarte Rd
Duarte, CA 91010-3012
Mailing address
1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 218-3896
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DRM-01007329 | CA | MD | Clinical Cytogenetics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1801403688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 DUARTE RD",
"city": "DUARTE",
"state": "CA",
"postal_code": "910103012",
"telephone_number": "626-218-3896",
"fax_number": "626-218-8877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 DUARTE RD",
"city": "DUARTE",
"state": "CA",
"postal_code": "910103012",
"telephone_number": "626-218-3896",
"fax_number": "626-218-8877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "JIA-CHI",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-25",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207SC0300X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Cytogenetics",
"state": "CA",
"license": "DRM-01007329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duarte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.