Michael Wan, M.D., F.a.C.O.G.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

A36431 Issued in CA

Legal business name

MICHAEL WAN, M.D., F.A.C.O.G.

Practice address

11100 Warner Ave
150B
Fountain Valley, CA 92708-7506

Phone

(714) 546-6600

NPI assigned

May 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Wan, M.D.NPI 1588628788

Title

Obstetrics and Gynecology

Phone

(714) 546-6600

Specialties & licenses 1

Addresses

Locations

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.

• Michael Wan, M.D.

  • Obstetrics & Gynecology Physician
  • Fountain Valley, CA
  • NPI 1588628788
  NPD (past) Authorized official

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982651485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE",
            "address_2": "150B",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087506",
            "telephone_number": "714-546-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE",
            "address_2": "150B",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087506",
            "telephone_number": "714-546-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL WAN, M.D., F.A.C.O.G.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OBSTETRICS AND GYNECOLOGY",
        "authorized_official_telephone_number": "714-546-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "A36431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael H. Simons D.P.M. a Professional Corporation
• 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., Inc
• Michelle Dang Chiropractic Corporation
• Jack K Middlebrooks, MD
• Rufina Pamela Mae Tuyac Miel, MD
• Mike Hung Tran, M.D. Inc

• Preferred Provider Organization in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.