Samuel Wang (NPI# 1013931039, PAC ID# 0941195176) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIAC ELECTROPHYSIOLOGY.
| Nation Provider ID (NPI) | 1013931039 |
| PAC ID by PECOS | 0941195176 |
| Professional Enrollment ID | I20040217000933 |
| Full Name | Samuel Wang |
| Organization Legal Name | BERKELEY CARDIOVASCULAR MEDICAL GROUP |
| Address |
3466 Mt Diablo Blvd Suite C100 Lafayette CA 94549-3952 |
| Phone Number | 5105494220 |
| Gender | M |
| Credential | MD |
| Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | CARDIAC ELECTROPHYSIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 6204733835 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050043 | ALTA BATES SUMMIT MEDICAL CENTER |
| 050305 | ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP |
| Address | Phone | Organization |
|---|---|---|
| 3466 Mt Diablo Blvd, Suite C100, Lafayette, CA 94549-3952 | 5105494220 | BERKELEY CARDIOVASCULAR MEDICAL GROUP |
| 3300 Webster St, Suite 404, Oakland, CA 94609-3149 | 5105494220 | BERKELEY CARDIOVASCULAR MEDICAL GROUP |
| Organization Legal Name | BERKELEY CARDIOVASCULAR MEDICAL GROUP |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Daniel Hill Jr. | Cardiovascular Disease (cardiology) | Berkeley Cardiovascular Medical Group | 3300 Webster St, Oakland, CA 94609-3149 |
| Robert R Greene | Interventional Cardiology | Berkeley Cardiovascular Medical Group | 3466 Mt Diablo Blvd, Suite C100, Lafayette, CA 94549-3952 |
| John S Edelen | Interventional Cardiology | Berkeley Cardiovascular Medical Group | 3466 Mt Diablo Blvd, Suite C100, Lafayette, CA 94549-3952 |
| Luisa Munoz Del Romeral | Cardiovascular Disease (cardiology) | Berkeley Cardiovascular Medical Group | 3466 Mt Diablo Blvd, Suite C100, Lafayette, CA 94549-3952 |
| Street Address |
3466 MT DIABLO BLVD SUITE C100 |
| City | LAFAYETTE |
| State | CA |
| Zip | 94549-3952 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robin A Alexander | Chiropractic | 3466 Mt Diablo Blvd, Suite C203, Lafayette, CA 94549-3982 | |
| Christopher A Simmons | Internal Medicine | John Muir Physician Network | 3466 Mt Diablo Blvd, Suite C104, Lafayette, CA 94549-3952 |
| Herbert John Ure | Family Medicine | John Muir Physician Network | 3466 Mt Diablo Blvd, Suite C104, Lafayette, CA 94549-3952 |
| Gisha Thomas | Internal Medicine | John Muir Physician Network | 3466 Mt Diablo Blvd, Suite C104, Lafayette, CA 94549-3952 |
| Karen Tinder | Nurse Practitioner | John Muir Physician Network | 3466 Mt Diablo Blvd, Suite C104, Lafayette, CA 94549-3952 |
| Maha B Toma | Internal Medicine | John Muir Physician Network | 3466 Mt Diablo Blvd, Suite C104, Lafayette, CA 94549-3952 |
| Robert R Greene | Interventional Cardiology | Berkeley Cardiovascular Medical Group | 3466 Mt Diablo Blvd, Suite C100, Lafayette, CA 94549-3952 |
| John S Edelen | Interventional Cardiology | Berkeley Cardiovascular Medical Group | 3466 Mt Diablo Blvd, Suite C100, Lafayette, CA 94549-3952 |
| Wai F Yeung | Internal Medicine | 3466 Mt Diablo Blvd, C100, Lafayette, CA 94549-3952 | |
| Luisa Munoz Del Romeral | Cardiovascular Disease (cardiology) | Berkeley Cardiovascular Medical Group | 3466 Mt Diablo Blvd, Suite C100, Lafayette, CA 94549-3952 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theodore A Glattke | Physical Therapy | East Bay Shoulder Clinic and Sports Rehabilitation, Inc | 3717 Mt Diablo Blvd, Suite 100, Lafayette, CA 94549-3547 |
| Nicole C Indart | Physical Therapy | East Bay Shoulder Clinic and Sports Rehabilitation, Inc | 3717 Mt Diablo Blvd, Suite 100, Lafayette, CA 94549-3547 |
| Kenneth M Caldwell | Orthopedic Surgery | East Bay Shoulder Clinic and Sports Rehabilitation, Inc | 3717 Mt Diablo Blvd, Suite 100, Lafayette, CA 94549-3547 |
| Kirk L Jensen | Orthopedic Surgery | East Bay Shoulder Clinic and Sports Rehabilitation, Inc | 3717 Mt Diablo Blvd, Suite 100, Lafayette, CA 94549-3547 |
| Edward C Klass | Physical Therapy | East Bay Shoulder Clinic and Sports Rehabilitation, Inc | 3717 Mt Diablo Blvd, Suite 100, Lafayette, CA 94549-3547 |
| Carrie S Haraburda | Physical Therapy | East Bay Shoulder Clinic and Sports Rehabilitation, Inc | 3717 Mt Diablo Blvd, Suite 100, Lafayette, CA 94549-3547 |
| David T Hatae | Physical Therapy | East Bay Shoulder Clinic and Sports Rehabilitation, Inc | 3717 Mt Diablo Blvd, Suite 100, Lafayette, CA 94549-3547 |
| Christina E Alba | Chiropractic | 3732 Mt Diablo Blvd, Suite 280, Lafayette, CA 94549-3605 | |
| Erik M Breitling | Qualified Audiologist | 3744 Mt Diablo Blvd, Suite 100, Lafayette, CA 94549-3661 | |
| Steven J Marcinkowski | Physical Therapy | 3675 Mt Diablo Blvd, Suite 110, Lafayette, CA 94549-3774 | |
| Find all physicians in zip 94549 | |||
| City | LAFAYETTE |
| Zip Code | 94549 |
| Specialty | CARDIAC ELECTROPHYSIOLOGY |
| City + Specialty | LAFAYETTE + CARDIAC ELECTROPHYSIOLOGY |
Please comment or provide details below to improve the information on Samuel Wang.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.