Active NPI
Susan Wang, MD
- Pediatrics Physician
- Los Angeles, CA
National Provider Identifier
1962152652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A202718
- Practice address
- 2020 Zonal Ave Ste 613
Los Angeles, CA 90089-0121 - Phone
- (323) 409-3737
- Fax
- (323) 441-4764
- NPI assigned
- Mar 25, 2022
- Last updated
- Jun 8, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A202718 | CA | Primary |
Addresses
Primary practice location
2020 Zonal Ave Ste 613
Los Angeles, CA 90089-0121
Mailing address
2020 Zonal Ave Ste 613
Los Angeles, CA 90089-0121
Phone (323) 409-3737
Other practice location 1
207 S Santa Anita St Ste 335
San Gabriel, CA 91776-1160
Phone (760) 941-4444
Other practice location 2
1850 S Azusa Ave Ste 206
Hacienda Heights, CA 91745-6853
Phone (626) 810-5450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- State University of New York at Stony Brook, School of Medicine, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
207 S Santa Anita St
Suite 335
San Gabriel, CA 91776-1160
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A202718 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1962152652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 ZONAL AVE STE 613",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900890121",
"telephone_number": "323-409-3737",
"fax_number": "323-441-4764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 ZONAL AVE STE 613",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900890121",
"telephone_number": "323-409-3737",
"fax_number": "323-441-4764"
}
],
"practiceLocations": [
{
"address_1": "207 S Santa Anita St Ste 335",
"address_purpose": "LOCATION",
"city": "San Gabriel",
"state": "CA",
"postal_code": "917761160",
"country_code": "US",
"telephone_number": "760-941-4444",
"fax_number": "858-332-1811",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1850 S Azusa Ave Ste 206",
"address_purpose": "LOCATION",
"city": "Hacienda Heights",
"state": "CA",
"postal_code": "917456853",
"country_code": "US",
"telephone_number": "626-810-5450",
"fax_number": "858-332-1811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "SUSAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-25",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A202718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.