Individual provider Active NPI

Winnie Pang, M.D.

  • Rheumatology Physician
  • Monterey Park, CA
National Provider Identifier
1962734798
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A110999 Issued in CA
Practice address
500 N Garfield Ave Ste 102
Monterey Park, CA 91754-1242
Phone
(626) 571-1176
Fax
(903) 650-8170
NPI assigned
Feb 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A110999 CA
Rheumatology Physician 207RR0500X A110999 CA Primary

Addresses

Primary practice location

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

Mailing address

PO Box 1286
Alhambra, CA 91802-1286

Other practice location 1

228 N. Garfield Ave.
Suite 202
Monterey Park, CA 91754
Phone (626) 571-1176

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130729000451 CA Practitioner - RheumatologyPractitioner - Internal Medicine 8325289655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
New York Medical College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 N Garfield Ave
Monterey Park, CA 91754-1242
Phone (626) 571-1176

National Provider Directory

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

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Winnie K Pang MD Inc Internal Medicine CurrentSince May 1, 2013 Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients

Locations

500 N Garfield Ave
Ste 102
Monterey Park, CA 91754
Phone (626) 288-0488

228 N Garfield Ave
Ste 202
Monterey Park, CA 91754
Phone (626) 308-0600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1962734798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1286",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918021286"
        },
        {
            "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": "91754",
            "country_code": "US",
            "telephone_number": "626-571-1176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANG",
        "first_name": "WINNIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-03",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A110999",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A110999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.