Individual provider Active NPI

Susan Wang, MD

  • Pediatrics Physician
  • Los Angeles, CA
National Provider Identifier
1962152652
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A202718 Issued in CA
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

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

LicenseStateTypeSpecialty
A202718CAMDPediatrics 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

Verify at the official NPI Registry.