Active NPI
Jinmei Woan MD a Professional Corporation
- Neurology Physician
- Tracy, CA
National Provider Identifier
1831130574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- G69222
- Legal business name
- JINMEI WOAN MD A PROFESSIONAL CORPORATION
- Practice address
- 530 W Eaton Ave
Suite M
Tracy, CA 95376-3400 - Phone
- (209) 833-0268
- Fax
- (209) 833-7880
- NPI assigned
- Jun 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jinmei Woan, MD
- Title
- President of Corporation
- Phone
- (209) 833-0268
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | G69222 | CA | Primary |
Addresses
Primary practice location
530 W Eaton Ave
Suite M
Tracy, CA 95376-3400
Mailing address
PO Box 1955
Tracy, CA 95378-1955
Phone (209) 833-0268
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G692220 | Other | CA | MEDICARE PROVIDER ID |
| 00G692221 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
530 W Eaton Ave
Ste M
Tracy, CA 95376
Phone (209) 833-0268
451 W Eaton Ave
Tracy, CA 95376
Phone (209) 833-0268
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Tracy, CA
- NPI 1093756835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477008000000",
"number": "1831130574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1955",
"city": "TRACY",
"state": "CA",
"postal_code": "953781955",
"telephone_number": "209-833-0268",
"fax_number": "209-833-7880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 W EATON AVE",
"address_2": "SUITE M",
"city": "TRACY",
"state": "CA",
"postal_code": "953763400",
"telephone_number": "209-833-0268",
"fax_number": "209-833-7880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JINMEI WOAN MD A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-10",
"last_updated": "2016-10-21",
"status": "A",
"authorized_official_last_name": "WOAN",
"authorized_official_first_name": "JINMEI",
"authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
"authorized_official_telephone_number": "209-833-0268",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "G69222",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER ID",
"identifier": "00G692220",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G692221",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tracy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.