NPIMap

Individual provider Active NPI

Wanhua Yang, M.D. PH.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Santa Rosa, CA
National Provider Identifier
1922360627
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A137016 Issued in CA
Practice address
1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Phone
(707) 525-5352
NPI assigned
Jun 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A137016 CA Primary

Addresses

Primary practice location

1165 Montgomery Dr
Santa Rosa, CA 95405-4801

Mailing address

1615 Hill Rd Ste B
Novato, CA 94947-4338
Phone (415) 898-7649

Other practice location 1

250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone (415) 925-7174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160720002213 CA Practitioner - Pathology 2769775238 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marin Medical LaboratoriesGroup PAC ID 7911990916, 8 clinicians

Practice addresses (Care Compare)

1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Phone (707) 525-5352

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.54 of 100Reported as group
Quality
59.67
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A137016CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Jun 1, 2016 Accepting new patients
Marin Medical Laboratories Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2017 Accepting new patients
Marin Medical Laboratories Anatomic Pathology & Clinical Pathology Current Accepting new patients
Marin Medical Laboratories Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2017 Accepting new patients
County of Los Angeles Auditor Controller CurrentSince Jun 1, 2016 Accepting new patients
County of Los Angeles Current Accepting new patients
Marin Medical Laboratories Anatomic Pathology & Clinical Pathology Past Accepting new patients
Marin Medical Laboratories Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

2700 Dolbeer St
Eureka, CA 95501
Phone (707) 269-4229

250 Bon Air Rd
#3
Greenbrae, CA 94904

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

1615 Hill Rd
Ste B
Novato, CA 94947
Phone (415) 898-7649

1615 Hill Rd
Ste Bcd
Novato, CA 94947
Phone (415) 898-7649

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

14445 Olive View Dr
#2C155
Sylmar, CA 91342
Phone (818) 364-3001

Organizations & group practices 8

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1339200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1922360627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 HILL RD STE B",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949474338",
            "telephone_number": "415-898-7649",
            "fax_number": "415-898-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 MONTGOMERY DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054801",
            "telephone_number": "707-525-5352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Bon Air Rd",
            "address_purpose": "LOCATION",
            "city": "Greenbrae",
            "state": "CA",
            "postal_code": "949041702",
            "country_code": "US",
            "telephone_number": "415-925-7174",
            "fax_number": "415-461-7228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "WANHUA",
        "credential": "M.D. PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A137016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.