NAN WANG (NPI# 1023040839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023040839 |
| Entity Type | Individual |
| Full Name | NAN WANG |
| Credential | M.D. |
| Practice Address |
901 San Bernardino Rd Ste 102 Upland CA 91786-4912 |
| Practice Telephone | 9095796721 |
| Practice Fax Number | 9095796737 |
| Mailing Telephone | 9095796721 |
| Mailing Fax Number | 9095796737 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2017-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | G55739 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G557390 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700249216 | Nan Wang | Student in an Organized Health Care Education/Training Program | 14445 Sanford Ave, Apt 4a, Flushing, NY 11355-1679 | 2016-04-01 |
| 1194880377 | Nan Wang | Internal Medicine | 10810 Conneticut Avenue, Kensington, MD 20895-2138 | 2006-12-27 |
| 1104807759 | Nan Wang | Ophthalmology | 4645 Southwest Fwy Ste 100, Houston, TX 77027-7163 | 2005-11-10 |
| 1467837450 | Nan Wang | Pharmacist | 3000 Arlington Ave # Ms 1013, Toledo, OH 43614-2595 | 2015-07-20 |
| 1851788285 | Nan Wang | Obstetrics & Gynecology | 395 W 12th Ave, 5th Floor, Columbus, OH 43210-1267 | 2015-04-23 |
| 1871848705 | Nan Wang | Acupuncturist | 3507 Alma St, Palo Alto, CA 94306-3539 | 2012-07-17 |
| Street Address |
901 SAN BERNARDINO RD STE 102 |
| City | UPLAND |
| State | CA |
| Zip Code | 91786-4912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558352971 | Carey A Bledsoe | Podiatrist | 901 San Bernardino Rd, Suite 104, Upland, CA 91786-4912 | 2005-11-03 |
| 1164965018 | Ythanh Nguyen M.d. Inc | Internal Medicine | 901 San Bernardino Rd, Upland, CA 91786-4912 | 2016-11-27 |
| 1629523014 | Premier Medical Group of California | Internal Medicine | 901 San Bernardino Rd, Suite 101, Upland, CA 91786-4912 | 2016-08-16 |
| 1861892705 | Faculty Physicians and Surgeons of Llusm | Pediatrics | 901 San Bernardino Rd, Upland, CA 91786-4912 | 2014-08-28 |
| 1619216553 | Premier Hospitalist Group Inc | Hospitalist | 901 San Bernardino Rd, Suite 101, Upland, CA 91786-4912 | 2013-02-13 |
| 1639448244 | Carey A. Bledsoe, D.p.m., A Professional Medical Corporation | Podiatrist | 901 San Bernardino Rd, Suite 104, Upland, CA 91786-4912 | 2011-12-28 |
| 1366711236 | Synergy Ct Surgery Partnership | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 901 San Bernardino Rd, Ste102, Upland, CA 91786-4912 | 2011-12-22 |
| 1063721330 | Synergy Cardiothoracic Surgery Medical Group | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 901 San Bernardino Rd, Suite102, Upland, CA 91786-4912 | 2010-10-04 |
| 1518270271 | Hossein Shayan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 901 San Bernardino Rd, Ste 102, Upland, CA 91786-4912 | 2010-07-22 |
| 1720172125 | K2 Drugs Inc. | Pharmacy | 901 San Bernardino Rd, Ste B, Upland, CA 91786-4912 | 2006-10-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
| 1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
| 1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
| 1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
| 1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
| 1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
| Find all providers in zip 91786 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083863914 | Faculty Physicians and Surgeons of Llusm | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 685 N 13th Ave Ste 11, Upland, CA 91786-4963 | 2008-09-16 |
| 1043230824 | Shankha Suvra Biswas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 901 San Bernardino Rd Ste 102, Upland, CA 91786-4988 | 2006-07-21 |
| 1366711236 | Synergy Ct Surgery Partnership | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 901 San Bernardino Rd, Ste102, Upland, CA 91786-4912 | 2011-12-22 |
| 1720366792 | Neeraj Bansal | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 901 San Bernardino Rd Ste 102, Upland, CA 91786-4988 | 2011-07-25 |
| 1063721330 | Synergy Cardiothoracic Surgery Medical Group | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 901 San Bernardino Rd, Suite102, Upland, CA 91786-4912 | 2010-10-04 |
| 1518270271 | Hossein Shayan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 901 San Bernardino Rd, Ste 102, Upland, CA 91786-4912 | 2010-07-22 |
| 1548421886 | Vincent Gregory Lee | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 901 San Bernardino Rd Ste 102, Upland, CA 91786-4988 | 2008-06-19 |
| 1417932880 | Charles Moss Geller | Thoracic Surgery (Cardiothoracic Vascular Surgery) | One Medical Center Blvd, Acp, Suite 233, Upland, PA 19013 | 2005-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370728 | North County Cvt Surgery Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3156 Vista Way Ste 100, Oceanside, CA 92056-3694 | 2020-09-14 |
| 1417560756 | Valiana Vascular Institute Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2501 E Chapman Ave Ste 220, Fullerton, CA 92831-3108 | 2020-08-26 |
| 1891252474 | Miguel Puig Md A Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1430 Esplanade Ste 10, Chico, CA 95926-3366 | 2019-03-01 |
| 1598247991 | Pavel V Petrik Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1331 W Avenue J Ste 203, Lancaster, CA 93534-2954 | 2018-08-31 |
| 1942797378 | Sharon A Bogerty Md Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 105 N Bascom Ave Ste 101b, San Jose, CA 95128-1811 | 2018-04-20 |
| 1992231112 | Samer Kanaan Md A Professional Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 27451 Los Altos, Suite 290, Mission Viejo, CA 92691 | 2017-05-08 |
| 1073065512 | Central California Chest Surgery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 729 N Medical Center Dr W Ste 223, Clovis, CA 93611-6885 | 2016-11-01 |
| 1407214612 | George Arnold Mulder | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1150 Laurel St, Pasadena, CA 91103-2329 | 2016-02-02 |
| 1760849905 | Steven R Gundry Md Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 555 E Tachevah Dr Ste 3w103, Palm Springs, CA 92262-5747 | 2016-01-19 |
| 1386018687 | Riyad Youssef Tarazi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9120 Judicial Dr, Apt 7522, San Diego, CA 92122-6700 | 2015-11-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.