Active NPI
Timothy T. Wang, M.D.
- Ophthalmology Physician
- San Jose, CA
National Provider Identifier
1902820087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G46341
- Practice address
- 2350 McKee Rd
Suite 2
San Jose, CA 95116-1617 - Phone
- (408) 272-2020
- NPI assigned
- Jul 26, 2006
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G46341 | CA | Primary |
Addresses
Primary practice location
2350 McKee Rd
Suite 2
San Jose, CA 95116-1617
Mailing address
2350 McKee Rd
Suite 2
San Jose, CA 95116-1617
Phone (408) 272-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G463410 | Medicaid | CA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120312000552 | CA | Practitioner - Ophthalmology | 4587823513 | Practice locations: San Jose, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2350 McKee Rd
San Jose, CA 95116-1617
Phone (408) 272-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 144 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280966400000",
"number": "1902820087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 MCKEE RD",
"address_2": "SUITE 2",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161617",
"telephone_number": "408-272-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 MCKEE RD",
"address_2": "SUITE 2",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161617",
"telephone_number": "408-272-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "TIMOTHY",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2010-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "G46341",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G463410",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.