Provider Type Icon

DR. BENJAMIN NICHOLAS WAN M.D. NPI 1942353032


NPI Information

NPI: 1942353032
Provider Name: DR. BENJAMIN NICHOLAS WAN, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual

CLIA Number: 05D2035389

Address:
595 BUCKINGHAM WAY
STE 500
SAN FRANCISCO, CA
ZIP 94132
Phone: (415) 665-6100
Get Directions

DR. Benjamin Nicholas Wan, M.D. is a pediatrics in San Francisco, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Benjamin Nicholas Wan, M.D. NPI is 1942353032. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

595 BUCKINGHAM WAY
STE 500
SAN FRANCISCO, CA
ZIP 94132-909
Phone: (415) 665-6100
Fax: (415) 665-6101

The CLIA number assigned to this NPI record is 05D2035389 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 7/23/2015.


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
1208000000XPediatricsA92050CALIFORNIAYes

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.