JEFFREY WANG
NPI 1114300548
Internal Medicine in Woodland Hills, CA
About Jeffrey Wang NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFREY WANG (NPI 1114300548) is an individual internal medicine provider in Woodland Hills, California, licensed in California (20A20772) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Panorama City, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Jeffrey 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.
Medicare Billing Reassignment
Medicare enrollment records show Jeffrey Wang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Woodland Hills, CA 91367
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
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 91367 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
WOODLAND HILLS, CA 91367
WOODLAND HILLS, CA 91367
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 1114300548. It was assigned to this individual provider in the NPPES registry on July 2, 2015.
Where is Jeffrey Wang located?
Jeffrey Wang practices at 5601 De Soto Ave, Woodland Hills, CA 91367. The listed phone number is (818) 719-2706.
What is Jeffrey Wang's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
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.
Which organization bills Medicare for Jeffrey Wang's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Wang reassigns Medicare benefits to Southern California Permanente Medical Group (Woodland Hills, 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 Jeffrey 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 Jeffrey Wang was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Jeffrey Wang · NPI 1114300548
Internal Medicine physician in Woodland Hills, California. Individual provider, active in the CMS NPPES registry since July 2, 2015.
## Identity
- **NPI:** 1114300548 (Entity type: Individual)
- **Enumerated:** July 2, 2015
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 20A20772 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5601 DE SOTO AVE, Woodland Hills, CA 91367-6798
- **Phone:** (818) 719-2706
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1952333478, Woodland Hills, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** December 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1114300548) · Data from the CMS NPPES public registry.