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KIM L WANG M.D. NPI 1174615215


NPI Information

NPI: 1174615215
Provider Name: KIM L WANG, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3301 C ST
SUITE #200-E
SACRAMENTO, CA
ZIP 95816
Phone: (916) 447-6267
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Kim L Wang, M.D. is a specialist in Sacramento, CA with 24 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Kim L Wang, M.D. NPI is 1174615215. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduation Year:2000

The provider's business location address is:

3301 C ST
SUITE #200-E
SACRAMENTO, CA
ZIP 95816-300
Phone: (916) 447-6267
Fax: (916) 447-0621

The NPI 1174615215 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Special stained specimen slides to examine tissue (HCPCS:88341)
  • Tissue or cell analysis by immunologic technique (HCPCS:88342)
  • Pathology examination of tissue using a microscope, moderately high complexity (HCPCS:88307)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)

The enumeration date for this NPI number is 9/28/2006 and was last updated on 5/6/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistA96087CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1BM269YOTHERCALIFORNIAMEDICARE PTAN
2BM269UOTHERCALIFORNIAMEDICARE PTAN
3A96087MEDICAIDCALIFORNIA
4A96087OTHERCALIFORNIAMEDICAL LICENSE NUMBER
5BM269XOTHERCALIFORNIAMEDICARE PTAN
6BM269SOTHERCALIFORNIAMEDICARE PTAN
7BM269ZOTHERCALIFORNIAMEDICARE PTAN
8BM269TOTHERCALIFORNIAMEDICARE PTAN
9BM269VOTHERCALIFORNIAMEDICARE PTAN
10BM269WOTHERCALIFORNIAMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.