DR. XIU-JIE WANG (NPI# 1215135496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215135496 |
| Entity Type | Individual |
| Full Name | DR. XIU-JIE WANG |
| Credential | M.D. |
| Practice Address |
3660 Park Sierra Dr Suite 105 Riverside CA 92505-3081 |
| Mailing Address |
Po Box 2828 Corona CA 92878-2828 |
| Practice Telephone | 9512788870 |
| Practice Fax Number | 9512788913 |
| Mailing Telephone | 9512788870 |
| Mailing Fax Number | 9512788913 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2016-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
C133870 | CA | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD432218 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1019992240001 | 05 | |
| PA | RR MEDICARE PIN | P00424200 | 01 |
| PA | RR MEDICARE GROUP | CC9269 | 01 |
| NY | 02910089 | 05 | |
| PA | PA MEDICARE GROUP | GU039818 | 01 |
| Street Address |
3660 PARK SIERRA DR SUITE 105 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92505-3081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457300436 | Mission Surgical Clinic, Inc. | Physician Assistant | 3660 Park Sierra Dr, Suite 105, Riverside, CA 92505-3071 | 2006-05-08 |
| 1730734450 | Teresa Pham | Behavior Technician | 3660 Park Sierra Dr, Riverside, CA 92505-3081 | 2019-08-08 |
| 1497261614 | Ly Thanh Duong | Nurse Practitioner | 3660 Park Sierra Dr, Riverside, CA 92505-3081 | 2017-12-26 |
| 1104276393 | Mission Surgical Group | Clinic/Center | 3660 Park Sierra Dr, Riverside, CA 92505-3081 | 2016-06-17 |
| 1326443201 | Neighborhood Health Systems | Non-Pharmacy Dispensing Site | 3660 Park Sierra Dr, Suite 110, Riverside, CA 92505-3081 | 2014-11-04 |
| 1366857039 | Neighborhood Health Systems | Clinic/Center | 3660 Park Sierra Dr, Suite 110, Riverside, CA 92505-3081 | 2014-06-21 |
| 1881991040 | First Call Medical Group | Specialist | 3660 Park Sierra Dr, 101, Riverside, CA 92505-3081 | 2011-02-23 |
| 1053544569 | Doris Sophia Li | Surgery | 3660 Park Sierra Dr, Suite 105, Riverside, CA 92505-3081 | 2009-08-31 |
| 1710137401 | Eric Changchien | Surgery | 3660 Park Sierra Dr, Suite 105, Riverside, CA 92505-3081 | 2008-09-30 |
| 1073761243 | Rizwan Badar | Internal Medicine | 3660 Park Sierra Dr, Suite 208, Riverside, CA 92505-3081 | 2008-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205458460 | Mark Anthony Vargas | Behavioral Analyst | 94193 Flat Rock Dr Ste 220, Riverside, CA 92505 | 2020-05-11 |
| 1568099976 | Victoria Lee | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 | 2020-03-25 |
| 1588222087 | A Homecare Services, Inc | In Home Supportive Care | 4193 Flat Rock Road, Building 200 Suite 206, Riverside, CA 92505 | 2019-05-31 |
| 1609302397 | Tap Pharmacy, Inc. | Pharmacy | 4270 Riverwalk Pkwy Ste 102, Riverside, CA 92505 | 2017-05-02 |
| 1467998658 | Onofre Gascon | Behavior Technician | 11711 Collett Ave, #1614, Riverside, CA 92505 | 2017-01-11 |
| 1780038505 | Nash David Martinez | Emergency Medicine | 10800 Magnolia Ave Dept of Emergency Medicine, Kaiser Permanente Hospital, Riverside, CA 92505 | 2016-04-18 |
| 1447639901 | Jose Joel Manalese Dds Inc | Dentist | 3950 Pierce St., Suite L., Riverside, CA 92505 | 2015-05-29 |
| 1821493230 | Jean Huynh | Physician Assistant | 11725 State Ave., Suite 100, Riverside, CA 92505 | 2014-10-28 |
| 1003160649 | Elaf Farahat | Dietitian, Registered | 10800 Magnolia Avenue., Riverside, CA 92505 | 2012-11-05 |
| 1730458217 | Tammy Lynn Gilmore | Non-emergency Medical Transport (VAN) | 10770 Hole Avenue, 106, Riverside, CA 92505 | 2011-12-29 |
| Find all providers in zip 92505 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114147592 | Franklin Kieu Torres | Surgery | 3660 Park Sierra Dr Ste 105, Riverside, CA 92505-3071 | 2007-04-26 |
| 1861541153 | Brian S. Campbell | Surgery | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2007-01-09 |
| 1598813396 | James D. Simpson | Surgery | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2007-01-08 |
| 1366452245 | Sung K Kim | Surgery | 10800 Magnolia Ave, Department of General Surgery, Riverside, CA 92505-3043 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881213817 | Robert Morton Carroll X | Surgery | 2241 Century Hl, Los Angeles, CA 90067-3506 | 2020-04-09 |
| 1992341895 | Surgicalist of Ca PC | Surgery | 3300 E South St Ste 301a, Lakewood, CA 90805-4549 | 2019-11-26 |
| 1528600558 | Kevin M Casey Md Apmc | Surgery | 1919 State St # 204-206, Santa Barbara, CA 93101-2430 | 2019-10-10 |
| 1487117594 | John Nastasi | Surgery | 100 W Valencia Mesa Dr # 211, Fullerton, CA 92835-3768 | 2019-04-08 |
| 1225508385 | Jay Labourene | Surgery | 1550 G Tiburon Blvd, Tiburon, CA 94920-2531 | 2018-12-03 |
| 1467922120 | Paul Bressman Md Inc | Surgery | 1493 S Crest Dr, Los Angeles, CA 90035-3339 | 2018-11-26 |
| 1437638517 | Thousand Oaks Vein Clinic PC | Surgery | 225 N Moorpark Rd Ste C, Thousand Oaks, CA 91360-4320 | 2018-08-09 |
| 1881186377 | Lavs Access Center Inc. | Surgery | 620 W Beverly Blvd Ste B, Montebello, CA 90640-3624 | 2018-05-31 |
| 1841789328 | Sunil Rayan, M.d., Inc. | Surgery | 320 Santa Fe Dr Ste 212, Encinitas, CA 92024-5139 | 2018-05-09 |
| 1245739820 | Northridge Vascular Center A Professional Medical Corporation | Surgery | 19331 Business Center Dr Ste 102, Northridge, CA 91324-3533 | 2018-02-08 |
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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.