David W Wang, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

C37520 Issued in CA

Practice address

210 N Garfield Ave
Suite 300
Monterey Park, CA 91754-1746

Phone

(626) 307-9009

Fax

(626) 307-1807

NPI assigned

Jul 14, 2005

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

Other identifiers 2

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

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• David Wei Wang, MD, Inc

  • Pediatrics Physician
  • Monterey Park, CA
  • NPI 1124414198
  NPD (past) Authorized official
• St. Augustine Medical Center Inc.

  • General Practice Physician
  • Monterey Park, CA
  • NPI 1184651622
  NPD (past)

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1912905787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N GARFIELD AVE",
            "address_2": "SUITE 300",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541746",
            "telephone_number": "626-307-9009",
            "fax_number": "626-307-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N GARFIELD AVE",
            "address_2": "SUITE 300",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541746",
            "telephone_number": "626-307-9009",
            "fax_number": "626-307-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "DAVID",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C37520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C375201",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C375200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cameran Wall
• Wan Yao, M.D. a Professional Corporation
• Angela Wang
• Chengwei Wang, M.D.
• Daniel Yh Wang, DDS
• Fan Wang, L. AC.
• George H Wang, M.D.
• Kevin Wang, MD
• Kuan I Wang, MD
• Lynn Wang, M.D.

• Pediatrics Physician in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.