Organization Active NPI

James Nien Chin Wang, D.O., Inc.

  • Family Medicine Physician
  • Alhambra, CA
National Provider Identifier
1982800249
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A8055 Issued in CA
Legal business name
JAMES NIEN CHIN WANG, D.O., INC.
Practice address
103 N Garfield Ave
Suite B
Alhambra, CA 91801-3555
Phone
(626) 284-7788
Fax
(626) 284-6255
NPI assigned
Jun 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Authorized official

Name
James N Wang, D.O.NPI 1134163637
Title
President
Phone
(626) 284-7788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 20A8055 CA Primary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X G66648 CA

Addresses

Primary practice location

103 N Garfield Ave
Suite B
Alhambra, CA 91801-3555

Mailing address

103 N Garfield Ave
Suite B
Alhambra, CA 91801-3555
Phone (626) 284-7788

Other identifiers 2

IdentifierTypeStateIssuer
1134163637OtherCADR. WANG'S NPI
1821030305OtherCADR. CHIENG'S NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070920000494 CA Part B Supplier - Clinic/Group Practice 2062506199 Receives reassigned benefits from 1 practitioner
Practice locations: Alhambra, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1063023James Nien Chin Wang DO Inc103 N Garfield Ave # B, Alhambra, CA 91801Certificate of waiverJan 2, 2027

National Provider Directory

National Provider Directory

Locations

103 N Garfield Ave
Ste B
Alhambra, CA 91801
Phone (626) 284-6255

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1982800249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N GARFIELD AVE",
            "address_2": "SUITE B",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013555",
            "telephone_number": "626-284-7788",
            "fax_number": "626-284-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N GARFIELD AVE",
            "address_2": "SUITE B",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013555",
            "telephone_number": "626-284-7788",
            "fax_number": "626-284-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES NIEN CHIN WANG, D.O., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-284-7788",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A8055",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G66648",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. WANG'S NPI",
            "identifier": "1134163637",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. CHIENG'S NPI",
            "identifier": "1821030305",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.