Harry Carl Wang, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

G31589 Issued in CA

Practice address

6355 Riverside Blvd
Suite S
Sacramento, CA 95831-1143

Phone

(916) 391-5077

Fax

(916) 391-5057

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299369600000",
    "number": "1841215001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 RIVERSIDE BLVD",
            "address_2": "SUITE S",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958311143",
            "telephone_number": "916-391-5077",
            "fax_number": "916-391-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 RIVERSIDE BLVD",
            "address_2": "SUITE S",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958311143",
            "telephone_number": "916-391-5077",
            "fax_number": "916-391-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "HARRY",
        "middle_name": "CARL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "G31589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheng Lun Wang, MD
• Danielle Wang
• David Daiwei Wang, MD
• David William Wang, M.D.
• Eric W. Wang, MD
• Hu-Shen Wang, D.O.M
• Jaw-Yan Wang, M.D.
• Jerry S. Wang, MD
• Jessie Wang
• Johnston Y Wang, CPO

• Child & Adolescent Psychiatry Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.