Active NPI
Michael Wan, M.D., Inc
- Medical Specialty Clinic/Center
- Fountain Valley, CA
National Provider Identifier
1962755702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- A36431
- Legal business name
- MICHAEL WAN, M.D., INC
- Practice address
- 11100 Warner Ave
Suite 150B
Fountain Valley, CA 92708-7506 - Phone
- (714) 546-6600
- Fax
- (714) 546-6608
- NPI assigned
- Oct 17, 2012
- Last updated
- Oct 17, 2012
- Organization subpart
- Yes
- Parent organization
- MICHAEL WAN, M.D.,INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Wan, M.D.
- Title
- President
- Phone
- (714) 546-6600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | A36431 | CA | Primary |
Addresses
Primary practice location
11100 Warner Ave
Suite 150B
Fountain Valley, CA 92708-7506
Mailing address
11100 Warner Ave
Suite 150B
Fountain Valley, CA 92708-7506
Phone (714) 546-6600
National Provider Directory
National Provider Directory- Part of
- Michael Wan MD Facog
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Obstetrics & Gynecology Physician
- Fountain Valley, CA
- NPI 1588628788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350432000000",
"number": "1962755702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11100 WARNER AVE",
"address_2": "SUITE 150B",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087506",
"telephone_number": "714-546-6600",
"fax_number": "714-546-6608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 WARNER AVE",
"address_2": "SUITE 150B",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087506",
"telephone_number": "714-546-6600",
"fax_number": "714-546-6608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL WAN, M.D., INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MICHAEL WAN, M.D.,INC.",
"enumeration_date": "2012-10-17",
"last_updated": "2012-10-17",
"status": "A",
"authorized_official_last_name": "WAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-546-6600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "CA",
"license": "A36431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fountain Valley, CA
- Michael H. Yee D.M.D. Inc
- Michael J. Vizcarra, M.D., Inc.
- Michael K. Tran, M.D., Inc. (Longwood Eye Center)
- Michael Truong, MD
- Michael Wan, M.D., F.a.C.O.G.
- Michelle Dang Chiropractic Corporation
- Jack K Middlebrooks, MD
- Rufina Pamela Mae Tuyac Miel, MD
- Mike Hung Tran, M.D. Inc
- Mikio Tachibana, M.D., Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.