DR. JENNIFER JEAN WAN


Address: 168 N Brent St Ste 508, Ventura, CA 93003-2840
Phone: 8056432375

DR. JENNIFER JEAN WAN (NPI# 1922264522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922264522
Entity Type Individual
Full Name DR. JENNIFER JEAN WAN
Credential MD
Practice Address 168 N Brent St Ste 508
Ventura
CA 93003-2840
Practice Telephone 8056432375
Practice Fax Number 8056433511
Mailing Telephone 8056432375
Mailing Fax Number 8056433511
Enumeration Date 2008-08-03
Last Update Date 2019-04-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery A100066 CA Allopathic & Osteopathic Physicians
Y 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) A100066 CA Allopathic & Osteopathic Physicians
N 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) 63774 MN Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
200 1st St Sw, Rochester, MN 55905 5072842511
300 Hillmont Ave, Bldg 340, Ste 401, Ventura, CA 930031651 8056526201 8056414416

Other Providers JENNIFER WAN

NPI Name Taxonomy Address Enumeration
1356616544 Jennifer Jen-wei Wan Radiology 500 Redwood Blvd Ste 300, Novato, CA 94947-6921 2012-03-20

Office Location

Street Address 168 N BRENT ST STE 508
City VENTURA
State CA
Zip Code 93003-2840

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124645924 Community Memorial Health System Pharmacy 2790 Loma Vista Road, Ventura, CA 93003 2020-06-29
1730702952 Sarah Manon Begert Student in an Organized Health Care Education/Training Program 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 2020-05-21
1033763677 Ashley Danielle Aguilar Counselor 5740 Ralston Suite 100, Ventura, CA 93003 2019-08-01
1730747239 Azadeh Ellsworth Nurse Practitioner 1752 S Victoria Ave Ste 250, Ventura, CA 93003 2019-05-31
1992275556 Melissa Marie Cole Social Worker 4949 Market St, Ventura, CA 93003 2018-11-27
1851868400 Weldon Acupuncture Professional Corporation Acupuncturist 3737 Telegraph Road, Suite F, Ventura, CA 93003 2018-10-31
1952876468 Isabella Florencia Gallegos Specialist/Technologist 1857 Knoll Dr., Ventura, CA 93003 2018-10-11
1437645421 Jill Huang Wong Psychologist 3585 Maple St Ste 248, Ventura, CA 93003 2018-07-02
1346735156 Lisa Ngoc Thi Nguyen Student in an Organized Health Care Education/Training Program 147 N. Brent Street, Ventura, CA 93003 2018-06-25
1457845331 Khloe Frank Student in an Organized Health Care Education/Training Program 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 2018-06-14
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Taxonomy Information

Taxonomy Code 208G00000X
Grouping Allopathic & Osteopathic Physicians
Classification Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760582159 Lamar J. Bushnell Thoracic Surgery (Cardiothoracic Vascular Surgery) 145 N. Brent Street, Suite 102, Ventura, CA 93003-2838 2006-09-25
1114027505 Berkeley Brandt IIi Thoracic Surgery (Cardiothoracic Vascular Surgery) 145 N Brent St, Suite 102, Ventura, CA 93003-2816 2006-09-25
1942300330 Dominic J. Tedesco Thoracic Surgery (Cardiothoracic Vascular Surgery) 145 N Brent St, Suite 102, Ventura, CA 93003-2816 2006-09-25

Providers in the same taxonomy and state

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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Competitor

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City VENTURA
Zip Code 93003

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Dataset Information

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.

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