XUEDONG WANG (NPI# 1275558298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275558298 |
| Entity Type | Individual |
| Full Name | XUEDONG WANG |
| Credential | MD |
| Practice Address |
100 W California Blvd Pasadena CA 91105-3010 |
| Mailing Address |
5700 Southwyck Blvd Toledo OH 43614-1509 |
| Practice Telephone | 6263475000 |
| Practice Fax Number | 6263972156 |
| Mailing Telephone | 8002888325 |
| Mailing Fax Number | 4198665453 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2013-03-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
A63196 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | WA63196A | 05 |
| Street Address |
100 W CALIFORNIA BLVD |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-3010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023019460 | David Michael Ulick | Emergency Medicine | 100 W California Blvd, Department of Emergency Medicine, Pasadena, CA 91109 | 2005-08-09 |
| 1477150381 | Julia Yehudit Grinblat | Registered Nurse | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-10-04 |
| 1487262846 | Sharon Marie Sullivan | Licensed Psychiatric Technician | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-07-21 |
| 1073121786 | Chelsea Marie Lam | Student in an Organized Health Care Education/Training Program | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-07-20 |
| 1629696182 | Claudette Bradley | Registered Nurse | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-07-10 |
| 1962020420 | Rachona Meza | Registered Nurse | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-07-10 |
| 1417573031 | Carolyn Krystal Kim | Student in an Organized Health Care Education/Training Program | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-06-19 |
| 1952927584 | Jessica Hsueh | Student in an Organized Health Care Education/Training Program | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-06-19 |
| 1396361929 | Raissa I Chua | Student in an Organized Health Care Education/Training Program | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-06-19 |
| 1073139630 | Khoa Nguyen | Student in an Organized Health Care Education/Training Program | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144799750 | Penguin Medical Group, Inc | Pathology | 11 W Del Mar Blvd Ste 201, Pasadena, CA 91105-2593 | 2018-11-13 |
| 1295941383 | Rubio R. Punzalan, Md, Inc. | Pathology | 427 S Grand Oaks Ave, Pasadena, CA 91107-5011 | 2007-05-15 |
| 1730173386 | Parakrama T Chandrasoma Md A Medical Corporation | Pathology | 405 Linda Vista Ave, Pasadena, CA 91105-1237 | 2005-09-08 |
| 1164862306 | Joseph Heitzman | Pathology | 4000 Spencer Hwy, Pasadena, TX 77504-1202 | 2013-07-02 |
| 1336497759 | Brit S Shackley Md Apc | Pathology | 100 W California Blvd, Pasadena, CA 91105-3010 | 2012-08-15 |
| 1659633493 | Pathology Associates of Arcadia | Pathology | 405 Linda Vista Ave, Pasadena, CA 91105-1237 | 2012-06-07 |
| 1629371224 | Lauren Obrien Md, Inc | Pathology | 100 W California Blvd, Pasadena, CA 91105-3010 | 2010-12-21 |
| 1144521253 | Susan S Murakami Md A Med Corp | Pathology | 100 W California Blvd, Pasadena, CA 91105-3010 | 2010-11-04 |
| 1407157514 | Xuedong Wang Md Phd Apc | Pathology | 100 W California Blvd, Pasadena, CA 91105-3010 | 2010-11-04 |
| 1154622264 | Dr Henry D Slosser Inc | Pathology | 100 W California Blvd, Pasadena, CA 91105-3010 | 2010-11-04 |
| Find all providers in PASADENA | ||||
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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.