JONATHAN WANG (NPI# 1376864884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376864884 |
| Entity Type | Individual |
| Full Name | JONATHAN WANG |
| Credential | M.D. |
| Practice Address |
21030 Redwood Rd Castro Valley CA 94546-5920 |
| Practice Telephone | 5105380430 |
| Practice Fax Number | 5105381839 |
| Mailing Telephone | 5105380430 |
| Mailing Fax Number | 5105381839 |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2014-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | A110419 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA MEDICAL LICENSE | A110419 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922564640 | Jonathan Chu Wang | Student in an Organized Health Care Education/Training Program | 111 Bell Ave, Piedmont, CA 94611-3403 | 2019-02-19 |
| 1992117634 | Jonathan Wang | Internal Medicine | 25 N Winfield Rd Ste 202, Winfield, IL 60190 | 2014-05-29 |
| 1326186073 | Jonathan I Wang | Legal Medicine | 713 W Duarte Road, G195, Arcadia, CA 91004 | 2007-02-02 |
| 1912452376 | Jonathan Wang | Physical Therapist | 3617 Parsons Blvd, Flushing, NY 11354-5931 | 2016-08-15 |
| 1194105098 | Jonathan Wang | Acupuncturist | 333 Santana Row Apt 251, San Jose, CA 95128-2008 | 2015-06-05 |
| 1861810913 | Jonathan Wang | Urology | 600 Highland Ave, H4831, Madison, WI 53792-0001 | 2014-04-04 |
| 1437434479 | Jonathan F Wang | Pharmacist | 780 Waukegan Rd, Deerfield, IL 60015-4305 | 2011-10-20 |
| 1780812438 | Jonathan Z Wang | Dentist | 104 4th Street, Bladenboro, NC 28320 | 2009-07-01 |
| 1467580142 | Jonathan A. Wang | Family Medicine | 290 Madison Ave, Suite #1, Morristown, NJ 07960-7400 | 2007-03-02 |
| 1295800548 | Jonathan C Wang | Radiology | 200 W Arbor Dr, San Diego, CA 92103-9001 | 2006-11-22 |
| Street Address |
21030 REDWOOD RD |
| City | CASTRO VALLEY |
| State | CA |
| Zip Code | 94546-5920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356318794 | Robert Edward Martin | Orthopaedic Surgery | 21030 Redwood Rd, Castro Valley, CA 94546-5920 | 2006-03-03 |
| 1053839175 | Ms. Wellness Nutrition, Inc. | Dietitian, Registered | 21030 Redwood Rd, Castro Valley, CA 94546-5920 | 2017-09-08 |
| 1861899981 | Robert Martin Md Inc | Orthopaedic Surgery | 21030 Redwood Rd, Castro Valley, CA 94546-5920 | 2014-12-04 |
| 1942592837 | Castro Valley Open Mri Medical Group Inc | Clinic/Center | 21030 Redwood Rd, Suite B, Castro Valley, CA 94546-5920 | 2011-05-10 |
| 1346491438 | Insight Health Corp | Radiology | 21030 Redwood Rd, Castro Valley, CA 94546-5920 | 2008-10-07 |
| 1013186956 | Marc A Munoz | Physician Assistant | 21030 Redwood Rd, Castro Valley, CA 94546-5920 | 2008-02-25 |
| 1265554752 | Douglas J. Abeles M.d. Inc | Non-Pharmacy Dispensing Site | 21030 Redwood Rd, Castro Valley, CA 94546-5920 | 2007-04-04 |
| 1356429526 | Lpmi Castro Valley, LLC | Radiology | 21030 Redwood Rd, Castro Valley, CA 94546-5920 | 2006-11-02 |
| 1508961582 | Douglas J Abeles | Orthopaedic Surgery | 21030 Redwood Rd, Castro Valley, CA 94546-5920 | 2006-09-14 |
| 1275501330 | Martha Singer | Orthopaedic Surgery | 21030 Redwood Rd, Castro Valley, CA 94546-5920 | 2006-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861991234 | For Your Eyes Only Ophthalmic Medical Corp. | Optometrist | 2687 Castro Valley Blvd., Castro Valley, CA 94546 | 2018-02-12 |
| 1821536954 | Webster Surgery Center, Lp | Clinic/Center | 20998 Redwood Dr, Castro Valley, CA 94546 | 2017-02-09 |
| 1639506215 | Jennifer Lee | Pharmacist | 20629 Redwood Road, Castro Valley, CA 94546 | 2013-09-27 |
| 1679860506 | Lauren Nicole Hill | Counselor | 20212 Redwood Rd Ste 104, Castro Valley, CA 94546 | 2011-06-29 |
| 1326330952 | Jeannette Villalobos | Counselor | 5248 Crane Avenue, Castro Valley, CA 94546 | 2011-05-16 |
| 1780992560 | Cherie Christine-vivona Clark | Physician Assistant | Eden Emergency Department, 20103 Lake Chabot Road, Castro Valley, CA 94546 | 2010-09-15 |
| 1518287218 | Rite Aid Incorporation | Community/Behavioral Health | 3548 Castro Valley Blv, Castro Valley, CA 94546 | 2010-06-03 |
| 1770719940 | Kristina Marie Sotto | Occupational Therapist | 20259 Lake Chabot Road, Castro Valley, CA 94546 | 2009-06-02 |
| 1861664203 | Bannanje R Nayak | Physical Medicine & Rehabilitation | 19830 Lake Chabot Road, Ste C, Castro Valley, CA 94546 | 2008-03-26 |
| 1205030202 | Yvonne Marie Jones | Social Worker | 2055 Fairmont Dr., San Leandro, CA 94546 | 2007-06-13 |
| Find all providers in zip 94546 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578705000 | Michael Krosin | Orthopaedic Surgery | 19845 Lake Chabot Rd Ste 200, Castro Valley, CA 94546-4055 | 2009-03-30 |
| 1700967239 | Associated Orthopaedic Surgeons of Hayward | Orthopaedic Surgery | 19842 Lake Chabot Road, Castro Valley, CA 94546-4002 | 2006-10-18 |
| 1194757716 | Michael B. Krinsky | Orthopaedic Surgery | 20990 Redwood Rd, Castro Valley, CA 94546-5918 | 2006-07-06 |
| 1356318794 | Robert Edward Martin | Orthopaedic Surgery | 21030 Redwood Rd, Castro Valley, CA 94546-5920 | 2006-03-03 |
| 1477520096 | Gregg Thomas Pottorff | Orthopaedic Surgery | 19842 Lake Chabot Rd, Castro Valley, CA 94546-4002 | 2006-03-02 |
| 1093181646 | Bay Area Surgical Specialists, Inc. A Medical Corporation | Orthopaedic Surgery | 19842 Lake Chabot Rd, Castro Valley, CA 94546-4002 | 2015-08-18 |
| 1154700169 | Associated Surgeons of Hayward | Orthopaedic Surgery | 19842 Lake Chabot Rd, Castro Valley, CA 94546-4002 | 2015-05-22 |
| 1861899981 | Robert Martin Md Inc | Orthopaedic Surgery | 21030 Redwood Rd, Castro Valley, CA 94546-5920 | 2014-12-04 |
| 1306114871 | Jerry L. Rasco | Orthopaedic Surgery | 3056 Castro Valley Blvd, #195, Castro Valley, CA 94546-5510 | 2011-12-12 |
| 1982905030 | Christopher A Walter Do Inc | Orthopaedic Surgery | 20990 Redwood Rd, Castro Valley, CA 94546-5918 | 2010-11-05 |
| Find all providers in CASTRO VALLEY | ||||
| City | CASTRO VALLEY |
| Zip Code | 94546 |
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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.