Active NPI
Roger Hsio-Hsion Wang, M.D.
- Adult Medicine Physician
- Santa Ana, CA
National Provider Identifier
1982602579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- A44667
- Practice address
- 1125 E 17TH St
Suite W239
Santa Ana, CA 92701-2201 - Phone
- (714) 835-1818
- Fax
- (714) 835-7200
- NPI assigned
- Jul 8, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | A44667 | CA | Primary |
Addresses
Primary practice location
1125 E 17TH St
Suite W239
Santa Ana, CA 92701-2201
Mailing address
1125 E 17TH St
Suite W239
Santa Ana, CA 92701-2201
Phone (714) 835-1818
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A44667 | Other | CA | PHYSICIAN LICENSE |
| 00A446670 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44667 | CA | MD | Dentist |
| A44667 | CA | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathway Medical Group, Inc. | Current | Accepting new patients | |
| Pathway Medical Group, Inc | Current | Accepting new patients | |
| Pathway Medical Group, Inc | Current | Accepting new patients | |
| Providence Medical Foundation | Past | Accepting new patients | |
| St Joseph Hospital of Orange | Past | Accepting new patients | |
| South Coast Global Medical Center, Inc | Past | Accepting new patients | |
| Orange County Global Medical Center, Inc | Past | Accepting new patients | |
| St. Joseph Health Northern California, LLC | Past | Accepting new patients |
Locations
12665 Garden Grove Blvd
Ste 502
Garden Grove, CA 92843
Phone (714) 534-3900
12665 Garden Grove Blvd
Ste 502AB
Garden Grove, CA 92843
Phone (714) 537-7800
12665 Garden Grove Blvd
Ste 502A
Garden Grove, CA 92843
Phone (714) 534-3900
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Garden Grove, CA
- NPI 1902853302
-
- Family Medicine Physician
- Garden Grove, CA
- NPI 1184670762
-
- Internal Medicine Physician
- Anaheim, CA
- NPI 1407199243
-
- General Acute Care Hospital
- Santa Ana, CA
- NPI 1982697678
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- General Acute Care Hospital
- Santa Ana, CA
- NPI 1558354258
-
- General Acute Care Hospital
- Orange, CA
- NPI 1912982216
-
- General Acute Care Hospital
- Eureka, CA
- NPI 1609858950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318204800000",
"number": "1982602579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 E 17TH ST",
"address_2": "SUITE W239",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927012201",
"telephone_number": "714-835-1818",
"fax_number": "714-835-7200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 E 17TH ST",
"address_2": "SUITE W239",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927012201",
"telephone_number": "714-835-1818",
"fax_number": "714-835-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "ROGER",
"middle_name": "HSIO-HSION",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2011-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "CA",
"license": "A44667",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN LICENSE",
"identifier": "A44667",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A446670",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.