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DR. AMY WANG MD
NPI 1053948638
Anesthesiology - Pain Medicine in La Jolla, CA

Active since March 24, 2020PECOS EnrolledAccepts Medicare Assignment
9400 CAMPUS POINT DR, LA JOLLA, CA 92093(858) 246-1758 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 1, 2024, Mar 24, 2020 (2 updates tracked since 2020).

About Dr. Amy Wang Md NPPES

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

DR. AMY WANG MD (NPI 1053948638) is an individual pain medicine provider in La Jolla, California, licensed in California (A194386) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1053948638
Entity TypeIndividualFemale
Primary Taxonomy207LP2900X
Provider Legal NameDR. AMY WANGCredential: MD
Location Address9400 CAMPUS POINT DRLa Jolla, CA 92093-5641
Mailing Address9400 Campus Point DrLa Jolla, CA 92093-1350
Phone(858) 246-1758
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 24, 2020
Last NPPES UpdateAugust 1, 20242 updates tracked since enumeration
NPPES CertifiedAugust 1, 2024
✔ NPI 1053948638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in CA · A194386
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
9400 CAMPUS POINT DR, La Jolla, CA 92093
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Amy 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 ID5496249294
PECOS Enrollment IDI20251209004128
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.

Medicare Billing Reassignment

Medicare enrollment records show Amy Wang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
8.7 mi
Health Maintenance Organization
1288 CAMINO DEL RIO N
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1023425972 (877) 608-0044

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

DAVID RYAN BAKAL
Physical Medicine & Rehabilitation
9400 CAMPUS POINT DR
LA JOLLA, CA 92093
San Diego County (800) 926-8273
VANESSA JOAN WRIGHT CNM, WHNP
Advanced Practice Midwife
9400 CAMPUS POINT DR
LA JOLLA, CA 92093
San Diego County (619) 543-3863
MRS. SHELBY L WILCOX AGACNP-BC, MSN
Nurse Practitioner (Acute Care)
9400 CAMPUS POINT DR
LA JOLLA, CA 92093
San Diego County (800) 926-8273
DR. ANDREW PETER HURVITZ M.D.
Orthopaedic Surgery
9400 CAMPUS POINT DR
LA JOLLA, CA 92093
San Diego County (800) 926-8273
DR. TAKASHI HIRASE MD, MPH
Orthopaedic Surgery
9400 CAMPUS POINT DR
LA JOLLA, CA 92093
San Diego County (800) 926-8273
CAROL LONG BSC OT
Occupational Therapist (Physical Rehabilitation)
9400 CAMPUS POINT DR
LA JOLLA, CA 92093
San Diego County (858) 444-7843
JOSE LUIS RUIZ P.A.
Physician Assistant
9400 CAMPUS POINT DR
LA JOLLA, CA 92093
San Diego County (858) 657-7876
DR. KARL PETER LINDHOLM MD
Radiology (Diagnostic Radiology)
9400 CAMPUS POINT DR
LA JOLLA, CA 92093
San Diego County (650) 823-0735

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Wang's NPI number?

The NPI number for Amy Wang is 1053948638. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Amy Wang located?

Amy Wang practices at 9400 Campus Point Dr, La Jolla, CA 92093. The listed phone number is (858) 246-1758.

What is Amy Wang's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Amy Wang enrolled in Medicare?

Yes. Amy Wang is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Amy Wang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Wang reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Wang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amy Wang was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.