Individual provider Active NPI

Wilson Kwan, M.D.

  • Cardiovascular Disease Physician
  • Torrance, CA
National Provider Identifier
1972958775
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A151616 Issued in CA
Practice address
2841 Lomita Blvd Ste 100
Torrance, CA 90505-5100
Phone
(310) 257-0508
Fax
(323) 226-2657
NPI assigned
Apr 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A151616 CA Primary

Addresses

Primary practice location

2841 Lomita Blvd Ste 100
Torrance, CA 90505-5100

Mailing address

2841 Lomita Blvd Ste 100
Torrance, CA 90505-5100
Phone (310) 257-0508

Other identifiers 1

IdentifierTypeStateIssuer
WK3232267556MedicaidCA

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
I20220711001351 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0345506713 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Southern California Keck School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cor Healthcare Medical AssociatesGroup PAC ID 0547157976, 25 clinicians
Torrance Health Association IncGroup PAC ID 1355302134, 298 clinicians
Torrance Memorial Medical CenterGroup PAC ID 9638087703, 52 clinicians
Southern California Hospitalist Network Medical Group IncGroup PAC ID 8921990110, 76 clinicians

Practice addresses (Care Compare)

2841 Lomita Blvd
Suite 100
Torrance, CA 90505-5100
Phone (310) 257-0508

2841 Lomita Blvd
Suite 235
Torrance, CA 90505-5111
Phone (310) 517-8950

3330 Lomita Blvd
Torrance, CA 90505-5002
Phone (310) 517-4785

625 The City Dr S
Suite 320
Orange, CA 92868-4978
Phone (714) 202-2330

Hospital & facility affiliations

  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351
  • Providence Little Company of Mary Med Ctr Torrance Hospital, Torrance, CA, CCN 050353
  • Providence Little Co of Mary Med Ctr San Pedro Hospital, San Pedro, CA, CCN 050078

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Torrance Memorial Medical Center CurrentSince Apr 24, 2024 Accepting new patients
Cor Healthcare Medical Associates Cardiovascular Disease CurrentSince Aug 1, 2022 Accepting new patients
Torrance Memorial Medical Center CurrentSince Apr 24, 2024 Accepting new patients
Southern California Hospitalist Network Medical Group Inc CurrentSince Aug 1, 2022 Accepting new patients
Torrance Health Association Inc CurrentSince Aug 1, 2022 Accepting new patients

Locations

625 The City Dr S
Ste 320
Orange, CA 92868
Phone (714) 202-2330

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

520 N Prospect Ave
Ste 300
Redondo Beach, CA 90277
Phone (310) 372-1156

1360 W 6th St
Ste 315
San Pedro, CA 90732
Phone (310) 547-9922

3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675

2841 Lomita Blvd
Ste 235
Torrance, CA 90505
Phone (310) 517-8950

2841 Lomita Blvd
Ste 100
Torrance, CA 90505
Phone (310) 257-0508

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: w.kwan@chc.directbygreenway.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1972958775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 LOMITA BLVD STE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055100",
            "telephone_number": "310-257-0508",
            "fax_number": "323-226-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 LOMITA BLVD STE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055100",
            "telephone_number": "310-257-0508",
            "fax_number": "323-226-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAN",
        "first_name": "WILSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-29",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A151616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "WK3232267556",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.