JENNIFER JEN-WEI WAN MD NPI 1356616544

NPI Information

  • NPI: 1356616544
  • Provider Name: JENNIFER JEN-WEI WAN, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 S SAN MATEO DR
    SAN MATEO, CA
    ZIP 94401
  • Phone: (650) 696-4515

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NPI Details

Jennifer Jen-wei Wan, MD is a diagnostic radiology radiology in San Mateo, CA with 14 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jennifer Jen-wei Wan, MD NPI is 1356616544. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

100 S SAN MATEO DR
SAN MATEO, CA
ZIP 94401-805
Phone: (650) 696-4515
Fax: (650) 696-4626

The NPI 1356616544 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.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Dxa bone density measurement of forearm, finger, hand, or foot (HCPCS:77081)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Aspiration of fluid from chest cavity using imaging guidance (HCPCS:32555)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Review by radiologist of ct guidance for needle placement (HCPCS:77012)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Fine needle aspiration biopsy using ultrasound guidance, first growth (HCPCS:10005)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)

The enumeration date for this NPI number is 3/20/2012 and was last updated on 3/19/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyA128087CALIFORNIAYes
22085R0204XRadiologyVascular & Interventional RadiologyA128087CALIFORNIANo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11356616544MEDICAIDCALIFORNIA

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: 11/21/2025

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