JEFFREY WELLY WANG
NPI 1083091003
Student in an Organized Health Care Education/Training Program in Santa Clara, CA

Active since April 28, 2015PECOS EnrolledAccepts Medicare Assignment
710 LAWRENCE EXPY, SANTA CLARA, CA 95051(408) 851-3834 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeffrey Welly Wang NPPES

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

JEFFREY WELLY WANG (NPI 1083091003) is an individual student in an organized health care education/training program in Santa Clara, California and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2015).

NPPES Registry Identity

NPI1083091003
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJEFFREY WELLY WANG
Location Address710 LAWRENCE EXPYSanta Clara, CA 95051-5173
Mailing Address710 Lawrence ExpySanta Clara, CA 95051-5173 · (408) 851-3834
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2015
Enumeration DateApril 28, 2015
Last NPPES UpdateDecember 17, 2021
NPI 1083091003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
710 LAWRENCE EXPY, Santa Clara, CA 95051

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

Jeffrey Welly Wang 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 ID9436563814
PECOS Enrollment IDI20210126001449
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

Services this provider delivered to Medicare fee-for-service patients, from the 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 with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
13 services11 patients

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.

Nurse Practitioner (Family)
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Student in an Organized Health Care Education/Training Program
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Dietitian, Registered
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Physical Therapist
710 LAWRENCE EXPY, DEPT. #174
SANTA CLARA, CA 95051
Podiatrist
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Internal Medicine (Gastroenterology)
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Physical Therapist
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Obstetrics & Gynecology
710 LAWRENCE EXPY
SANTA CLARA, CA 95051

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 Jeffrey Wang's NPI number?

The NPI number for Jeffrey Wang is 1083091003. It was assigned to this individual provider in the NPPES registry on April 28, 2015.

Where is Jeffrey Wang located?

Jeffrey Wang practices at 710 Lawrence Expy, Santa Clara, CA 95051. The listed phone number is (408) 851-3834.

What is Jeffrey Wang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jeffrey Wang enrolled in Medicare?

Yes. Jeffrey 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.

When was this NPI record last updated?

The NPPES record for Jeffrey Wang was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.