Active NPI
Sambin Wang, D.O.
- Psychiatry Physician
- Covina, CA
National Provider Identifier
1861710469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 20A11738
- Practice address
- 1161 E Covina Blvd
Covina, CA 91724-1523 - Phone
- (909) 279-1740
- NPI assigned
- May 7, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 20A11738 | CA | Primary |
Addresses
Primary practice location
1161 E Covina Blvd
Covina, CA 91724-1523
Mailing address
PO Box 1770
La Mesa, CA 91944-1770
Phone (619) 464-1165
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1161 E Covina Blvd
Covina, CA 91724-1523
Phone (909) 279-1740
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11738 | CA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cyrus Nasserian MD Cesar Cruz MD Sambin Wang DO and Zaheib Idrees D | Psychiatry | Current | Accepting new patients |
| Emanate Health Foothill Presbyterian Hospital | Past | Accepting new patients | |
| San Dimas Community Hospital, Inc. | Past | Accepting new patients | |
| St. Joseph Health Northern California, LLC | Past | Accepting new patients |
Locations
1161 E Covina Blvd
Covina, CA 91724
Phone (626) 859-5289
150 W Route 66
Glendora, CA 91740
Phone (626) 335-0231
800 E 5th St
Ontario, CA 91764
Phone (909) 984-1620
Interoperability endpoints
- sambin.wang.p8@direct.bfmc.nextgenshare.com
- sambin.wang.p1@direct.bfmc.nextgenshare.com
Organizations & group practices 4
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
- Covina, CA
- NPI 1326727074
-
- General Acute Care Hospital
- Glendora, CA
- NPI 1992733513
-
- Skilled Nursing Facility
- San Dimas, CA
- NPI 1568487619
-
- Rehabilitation Hospital Unit
- Napa, CA
- NPI 1609947282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1861710469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1770",
"city": "LA MESA",
"state": "CA",
"postal_code": "919441770",
"telephone_number": "619-464-1165",
"fax_number": "619-567-1011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1161 E COVINA BLVD",
"city": "COVINA",
"state": "CA",
"postal_code": "917241523",
"telephone_number": "909-279-1740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "SAMBIN",
"name_prefix": "Mr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-07",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "20A11738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.