Winnie K Pang MD Inc

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

A110999 Issued in CA

Legal business name

WINNIE K PANG MD INC

Practice address

500 N Garfield Ave Ste 102
Monterey Park, CA 91754-1242

Phone

(626) 571-1176

Fax

(903) 650-8170

NPI assigned

May 10, 2013

Last updated

Apr 10, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Winnie Pang, MDNPI 1962734798

Title

President

Phone

(626) 571-1175

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Winnie Pang, M.D.

  • Rheumatology Physician
  • Monterey Park, CA
  • NPI 1962734798

  Internal Medicine

  Medicare reassignment NPD Authorized official
• Katie Ruth Pang, M.D.

  • Dermatology Physician
  • Monterey Park, CA
  • NPI 1750439873
  NPD (past)

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1952747438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 286",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918020286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N GARFIELD AVE STE 102",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541242",
            "telephone_number": "626-571-1176",
            "fax_number": "903-650-8170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "228 N Garfield Ave",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Monterey Park",
            "state": "CA",
            "postal_code": "917541709",
            "country_code": "US",
            "telephone_number": "626-308-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WINNIE K PANG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-10",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "PANG",
        "authorized_official_first_name": "WINNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-571-1175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A110999",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A110999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whidbey Island Public Hospital District
• Irwan Widjaja, L.AC
• Jeremy Demetri Williams, M.D.
• Timothy David Williams
• Wilshire District Medical Group
• Winston C San Agustin, M.D Inc
• Lazaro Gurovich Wisnia, M.D.
• Aimee Wong
• Alan Lew Wong, LCSW
• Andrea Wong, D. C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.