MARY WANG MD
NPI 1053567842
Family Medicine in San Diego, CA

Active since August 12, 2008PECOS EnrolledAccepts Medicare Assignment
9333 GENESEE AVE STE 200, SAN DIEGO, CA 92121(858) 657-8600 Get Directions Write a Review

NPPES record last updated: February 16, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mary Wang Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY WANG MD (NPI 1053567842) is an individual family medicine provider in San Diego, California, licensed in California (A102257) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1053567842
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARY WANGCredential: MD
Location Address9333 GENESEE AVE STE 200San Diego, CA 92121-2113
Mailing AddressPo Box 232410San Diego, CA 92193-2410
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 12, 2008
Last NPPES UpdateFebruary 16, 2018
NPI 1053567842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A102257
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9333 GENESEE AVE STE 200, San Diego, CA 92121

Secondary Practice Location 1

Location 16000 N Figueroa StLos Angeles, CA 90042-4232 · Phone (999) 999-9999 · Fax (999) 999-9999

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Wang Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779646450
PECOS Enrollment IDI20090106000682
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
93 services54 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services36 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
39 services39 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
23 services23 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
16 services16 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92121 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers19 claims50 services$4.85 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier14 claims14 services$24.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
9333 GENESEE AVE STE 200
SAN DIEGO, CA 92121
Family Medicine (Adult Medicine)
9333 GENESEE AVE STE 200
SAN DIEGO, CA 92121
Marriage & Family Therapist
9333 GENESEE AVE STE 200
SAN DIEGO, CA 92121
Family Medicine
9333 GENESEE AVE STE 200, LA JOLLA FAMILY AND SPORTS MEDICINE
SAN DIEGO, CA 92121
Student in an Organized Health Care Education/Training Program
9333 GENESEE AVE STE 200
SAN DIEGO, CA 92121
Family Medicine
9333 GENESEE AVE STE 200
SAN DIEGO, CA 92121
Marriage & Family Therapist
9333 GENESEE AVE STE 200
SAN DIEGO, CA 92121
Student in an Organized Health Care Education/Training Program
9333 GENESEE AVE STE 200
SAN DIEGO, CA 92121

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053567842, enumerated as an "individual" on August 12, 2008.

The provider is located at 9333 GENESEE AVE STE 200 SAN DIEGO, CA 92121 and the phone number is (858) 657-8600.

Family Medicine with taxonomy code 207Q00000X.