Individual provider Active NPI

Tzu Chiang Wang, MD

  • Internal Medicine Physician
  • Escondido, CA
National Provider Identifier
1912932187
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C182356 Issued in CA
Practice address
353 W 9TH Ave
Escondido, CA 92025-5032
Phone
(713) 988-2711
Fax
(713) 988-3418
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X F5793 TX
Internal Medicine Physician 207R00000X C182356 CA Primary

Addresses

Primary practice location

353 W 9TH Ave
Escondido, CA 92025-5032

Mailing address

353 W 9TH Ave
Escondido, CA 92025-5032
Phone (858) 430-7478

Other names 1

  • Tzu C. Wang Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070510000534 TX Practitioner - Internal Medicine 0042316887 Practice locations: Houston, TX
I20241009003755 CA Practitioner - Internal Medicine 0042316887 Practice locations: Escondido, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C182356CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Emergency Physician Associates, P.a. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1912932187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 W 9TH AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920255032",
            "telephone_number": "858-430-7478",
            "fax_number": "713-988-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 W 9TH AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920255032",
            "telephone_number": "713-988-2711",
            "fax_number": "713-988-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "TZU",
        "middle_name": "CHIANG",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F5793",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C182356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TZU",
            "last_name": "WANG",
            "middle_name": "C.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.