Sze Man Wah, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95021098 Issued in CA

Practice address

227 Cameron Way
San Gabriel, CA 91776-1802

Phone

(626) 623-9438

NPI assigned

Aug 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Astrana Care Hospitalists, a Medical Corporation

  • Hospitalist Physician
  • Alhambra, CA
  • NPI 1265658595
  Medicare reassignment NPD

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1922726306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 CAMERON WAY",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 CAMERON WAY",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761802",
            "telephone_number": "626-623-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAH",
        "first_name": "SZE MAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vision San Gabriel Optometry, Inc.
• Vista Cove at San Gabriel, Inc.
• Vista Cove Care Center at San Gabriel, Inc.
• W Richard Bukata MD Inc.
• W. Richard Bukata
• Walgreen Co
• Zhijing ZW Wan, AC20119
• Alice Wang, LMFT
• Chun Yeh Wang, MD.,PH.D.
• Edward Wang

• Family Nurse Practitioner in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.