Xiao H Wan, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20A11881 Issued in CA

Practice address

1600 W Avenue J
Lancaster, CA 93534-2814

Phone

(626) 688-3568

Fax

(626) 688-3568

NPI assigned

Apr 3, 2010

Sex

Male

Sole proprietor

No

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

Specialty

Internal Medicine

Education

Western University of Health Sciences College of Dental Med, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Horizon Multicare Group IncGroup PAC ID 5294033734, 26 clinicians

Unified Health AssociatesGroup PAC ID 0749664910, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Newstart Home Health Inc Home health agency, Woodland Hills, CA, CCN 757145
• Blue Sky Home Health Care, Inc Home health agency, Van Nuys, CA, CCN 059126
• Tribute Home Health Care, Inc. Home health agency, Glendale, CA, CCN 757415
• Antelope Valley Hospital Hospital, Lancaster, CA, CCN 050056
• Palmdale Regional Medical Center Hospital, Palmdale, CA, CCN 050204
• Mirage Post Acute Nursing home, Lancaster, CA, CCN 056039
• The Ellison John Transitional Care Center Nursing home, Lancaster, CA, CCN 555904
• Antelope Valley Care Center Nursing home, Lancaster, CA, CCN 555456

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/adcf8c94-9b00-4842-a377-0e772d7d3145/

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.

• Unified Health Associates

  • Multi-Specialty Clinic/Center
  • Lancaster, CA
  • NPI 1326773672
  Medicare reassignment Care Compare group NPD Authorized official
• Horizon Multicare Group Inc

  • Internal Medicine Physician
  • Lancaster, CA
  • NPI 1598130569
  Medicare reassignment Care Compare group NPD
• Arcadia Hospitalist Medical Group, Inc.

  • Internal Medicine Physician
  • Arcadia, CA
  • NPI 1114365269
  Medicare reassignment NPD
• Antelope Valley Health Care District

  • General Acute Care Hospital
  • Lancaster, CA
  • NPI 1366419517
  NPD (past)
• Cogent Healthcare of California, PC

  • Internal Medicine Physician
  • San Bernardino, CA
  • NPI 1366681074
  NPD (past)
• Kenneth V. Miselis, M.D. Inc.

  • Specialist
  • Stockton, CA
  • NPI 1962413740
  NPD (past)

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

• Antelope Valley Health Care District

  • General Acute Care Hospital
  • Lancaster, CA
  • NPI 1366419517
  Care Compare affiliation
• Antelope Valley SNF Healthcare, LLC

  • Skilled Nursing Facility
  • Lancaster, CA
  • NPI 1083302350

  Nursing home

  Care Compare affiliation
• Blue Sky Home Health Care, Inc.

  • Home Health Agency
  • Van Nuys, CA
  • NPI 1578780185
  Care Compare affiliation
• Lancaster Hospital Corporation

  • General Acute Care Hospital
  • Palmdale, CA
  • NPI 1508856535
  Care Compare affiliation
• Lancaster SNF Healthcare, LLC

  • Skilled Nursing Facility
  • Lancaster, CA
  • NPI 1801584164

  Nursing home

  Care Compare affiliation
• Premiere Rehabilitation & Wellness Center of Lancaster LP

  • Skilled Nursing Facility
  • Lancaster, CA
  • NPI 1932555976

  Nursing home

  Care Compare affiliation
• Reliacare Home Health, Inc.

  • Home Health Agency
  • Woodland Hills, CA
  • NPI 1821690306
  Care Compare affiliation
• Tribute Home Health Care, Inc.

  • Home Health Agency
  • Glendale, CA
  • NPI 1518537414
  Care Compare affiliation

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

{
    "created_epoch": "1270252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1851616775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19197 GOLDEN VALLEY RD # 935",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913871428",
            "telephone_number": "626-688-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342814",
            "telephone_number": "626-688-3568",
            "fax_number": "626-688-3568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11234 Anderson St",
            "address_2": "GME Office CP 21005",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923542804",
            "country_code": "US",
            "telephone_number": "909-558-8131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAN",
        "first_name": "XIAO",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-03",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A11881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph William Walsh, PH.D.
• Kelly Kristen Walter, BS
• Myjoy S Walton
• Teresa Ann Walton, LMFT
• Tiffani Walton, LCSW
• Philip Wang, PHARMD
• Yii-Teh Wang, PT
• Steve Brian Waraprateep, PHARM. D.
• Kristine Yvonne Ward
• Raven Alannah Ward

• Internal Medicine Physician in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.

Verify at the official NPI Registry.