Active NPI
Dora-Linda Lau Wang, MD
- Psychiatry Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 332953
- Practice address
- 268 Canal St
New York, NY 10013-3599 - Phone
- (212) 941-2213
- Fax
- (212) 941-2180
- NPI assigned
- Jul 22, 2006
- 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 | G72211 | CA | |
| Psychiatry Physician | 2084P0800X | 332953 | NY | Primary |
Addresses
Primary practice location
268 Canal St
New York, NY 10013-3599
Mailing address
125 Walker St FL 2
New York, NY 10013-4135
Phone (212) 226-8866
Other practice location 1
1720 El Camino Real Ste 140
Burlingame, CA 94010-3231
Phone (925) 282-1778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08180889 | Medicaid | NY |
Other names 1
- Dora-Linda Wang
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Yale University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1287 Fulton Rd
Santa Rosa, CA 95401-4923
Phone (707) 258-8757
Hospital & facility affiliations
- St John'S Episcopal Hospital at South Shore
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G72211 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Clara | Current | Accepting new patients | |
| Pacific Coast Psychiatric Associates Inc | Psychiatry | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| St John'S Medical Services PC | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| San Marino Psychiatric Associates, Inc. | Psychiatry | Past | Accepting new patients |
| Charles B. Wang Community Health Center, Inc. | Past | Accepting new patients |
Locations
1720 El Camino Real
Ste 140
Burlingame, CA 94010
7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400
1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846
500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433
750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320
2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320
660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366
327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- dwang192185@santaclaravalley.direct-ci.net
- https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
- lifestancehealth.doralindawang@148377.advancedmd-direct.com
- dora-linda.wang.1@14448.direct.athenahealth.com
Organizations & group practices 11
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.
-
- Psychiatry Physician
- Santa Rosa, CA
- NPI 1083802979
-
- Anesthesiology Physician
- San Jose, CA
- NPI 1588721500
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1629301346
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Clinical Psychologist
- Scottsdale, AZ
- NPI 1023125465
CA, Psychiatry
-
- Internal Medicine Physician
- Far Rockaway, NY
- NPI 1023042173
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1043354020
-
- Federally Qualified Health Center (FQHC)
- Sunnyvale, CA
- NPI 1336326974
-
- Pharmacy
- San Jose, CA
- NPI 1891871919
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1144203498
-
- Psychiatry Physician
- San Marino, CA
- NPI 1063540938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767052800000",
"number": "1831110071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 WALKER ST FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134135",
"telephone_number": "212-226-8866",
"fax_number": "212-226-2289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "268 CANAL ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100133599",
"telephone_number": "212-941-2213",
"fax_number": "212-941-2180"
}
],
"practiceLocations": [
{
"address_1": "1720 El Camino Real Ste 140",
"address_purpose": "LOCATION",
"city": "Burlingame",
"state": "CA",
"postal_code": "940103231",
"country_code": "US",
"telephone_number": "925-282-1778",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "DORA-LINDA",
"middle_name": "LAU",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-22",
"last_updated": "2025-12-30",
"certification_date": "2025-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G72211",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "332953",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08180889",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DORA-LINDA",
"last_name": "WANG",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.