Organization Active NPI

John Z Wang MD Inc

  • Internal Medicine Physician
  • West Covina, CA
National Provider Identifier
1861457327
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A67229 Issued in CA
Legal business name
JOHN Z WANG MD INC
Practice address
1535 W Merced Ave
Ste 206
West Covina, CA 91790-3404
Phone
(626) 338-0811
Fax
(626) 338-0922
NPI assigned
Apr 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John Zheng Wang, MD
Title
President
Phone
(626) 338-0811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A67229 CA Primary

Addresses

Primary practice location

1535 W Merced Ave
Ste 206
West Covina, CA 91790-3404

Mailing address

1535 W Merced Ave
Ste 206
West Covina, CA 91790-3404
Phone (626) 338-0811

Other identifiers 1

IdentifierTypeStateIssuer
GR0093970MedicaidCA

National Provider Directory

National Provider Directory

Locations

1535 W Merced Ave
Ste 206
West Covina, CA 91790
Phone (626) 338-0811

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861457327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 W MERCED AVE",
            "address_2": "STE 206",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903404",
            "telephone_number": "626-338-0811",
            "fax_number": "626-338-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 W MERCED AVE",
            "address_2": "STE 206",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903404",
            "telephone_number": "626-338-0811",
            "fax_number": "626-338-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN Z WANG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ZHENG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-338-0811",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A67229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0093970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.