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WILSON WANG MD
NPI 1073608543
Pediatrics in San Rafael, CA

Active since October 03, 2006PECOS Enrolled
4000 CIVIC CENTER DR STE 206, SAN RAFAEL, CA 94903(415) 925-8070 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wilson Wang Md NPPES

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

WILSON WANG MD (NPI 1073608543) is an individual pediatrics provider in San Rafael, California, licensed in New York (242920) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1073608543
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameWILSON WANGCredential: MD
Location Address4000 CIVIC CENTER DR STE 206San Rafael, CA 94903-5233
Mailing Address1601 18th St Nw Apt 601Washington, DC 20009-2516
Phone(415) 925-8070
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateAugust 7, 2026
NPPES CertifiedAugust 7, 2026
✔ NPI 1073608543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NY · 242920✔ Licensed in CA · A75880
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4000 CIVIC CENTER DR STE 206, San Rafael, CA 94903
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Secondary Practice Location 1

Location 13555 Cesar Chavez StreetSan Francisco, CA 94110 · Phone (415) 647-8600 · Fax (415) 641-6823

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wilson Wang Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

3

Medicare enrollment records show Wilson Wang reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Valley Physician Services PC
2,566 mi
Internal Medicine
15 ESSEX RD
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 833 clinicians in this Medicare group
NPI 1467815928 (201) 291-6086
Physician Affiliate Group Of New York PC
2,575 mi
Dietitian, Registered
506 LENOX AVE
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 2,094 clinicians in this Medicare group
NPI 1013375526 (212) 939-2467
New York University
2,583 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94903 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
$104.67 typical visit price
range $69.07 – $202.63
Typical copayment $26.16 (range $17.26 – $50.65)
Most-billed visit code 99203
Established Patient
$119.61 typical visit price
range $23.44 – $166.64
Typical copayment $29.90 (range $5.86 – $41.66)
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

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

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier15 claims1,050 services$0.76 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 6

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

REGENTS OF THE UNIVERSITY OF CALIFORNIA
Clinic/Center (Rehabilitation)
4000 CIVIC CENTER DR STE 206
SAN RAFAEL, CA 94903
Marin County (415) 353-7598
JENNIFER GRAYZAR M.D.
Emergency Medicine
4000 CIVIC CENTER DR STE 206
SAN RAFAEL, CA 94903
Marin County (415) 925-8865
HARTWELL N LIN M.D.
Emergency Medicine
4000 CIVIC CENTER DR STE 206
SAN RAFAEL, CA 94903
Marin County (415) 925-8865
ARMANDO GARCIA-MENDOZA MD
Pediatrics
4000 CIVIC CENTER DR STE 206
SAN RAFAEL, CA 94903
Marin County (415) 925-8070
DR. JOHN L CLOTHIER M.D.
Family Medicine
4000 CIVIC CENTER DR STE 206
SAN RAFAEL, CA 94903
Marin County (415) 925-8865
KARIN KERK M.D
Internal Medicine
4000 CIVIC CENTER DR STE 206
SAN RAFAEL, CA 94903
Marin County (415) 925-8895

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 Wilson Wang's NPI number?

The NPI number for Wilson Wang is 1073608543. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Wilson Wang located?

Wilson Wang practices at 4000 Civic Center Dr Ste 206, San Rafael, CA 94903. The listed phone number is (415) 925-8070.

What is Wilson Wang's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Wilson Wang enrolled in Medicare?

Yes. Wilson Wang is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Wilson Wang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wilson Wang reassigns Medicare benefits to 3 organizations: Valley Physician Services PC (Paramus, NJ), Physician Affiliate Group Of New York PC (New York, NY) and New York University (Boynton Beach, FL). Each 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 Wilson Wang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wilson Wang accept?

Health plans from Oscar Health list Wilson Wang as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wilson Wang was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.