LUCY SHIJIA WANG DO
NPI 1114424447
Pathology - Anatomic Pathology & Clinical Pathology in Oakland, CA

Active since April 12, 2018PECOS EnrolledAccepts Medicare Assignment
3600 BROADWAY, OAKLAND, CA 94611(510) 752-1000 Get Directions Write a Review

NPPES record last updated: September 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 14, 2024, Apr 12, 2018 (2 updates tracked since 2018).

About Lucy Shijia Wang Do NPPES

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

LUCY SHIJIA WANG DO (NPI 1114424447) is an individual anatomic pathology & clinical pathology provider in Oakland, California, licensed in California (20A22602) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2018).

NPPES Registry Identity

NPI1114424447
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameLUCY SHIJIA WANGCredential: DO
Location Address3600 BROADWAYOakland, CA 94611-5730
Mailing Address6301 Shellmound St Apt 432Emeryville, CA 94608-1480 · (913) 306-7961
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2018
Enumeration DateApril 12, 2018
Last NPPES UpdateSeptember 14, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
NPI 1114424447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in CA · 20A22602
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

3600 BROADWAY, Oakland, CA 94611

Secondary Practice Location 1

Location 1550 1st AveNew York, NY 10016-6402 · Phone (212) 263-5506

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

Lucy Shijia Wang Do 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 ID7911446232
PECOS Enrollment IDI20240829003169
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94611 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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.

Internal Medicine
3600 BROADWAY
OAKLAND, CA 94611
Pharmacist
3600 BROADWAY
OAKLAND, CA 94611
Psychiatry & Neurology (Psychiatry)
3600 BROADWAY
OAKLAND, CA 94611
Respiratory Therapist, Registered
3600 BROADWAY
OAKLAND, CA 94611
Pharmacist
3600 BROADWAY
OAKLAND, CA 94611
Student in an Organized Health Care Education/Training Program
3600 BROADWAY
OAKLAND, CA 94611
Student in an Organized Health Care Education/Training Program
3600 BROADWAY
OAKLAND, CA 94611
Physical Medicine & Rehabilitation
3600 BROADWAY
OAKLAND, CA 94611

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 Lucy Wang's NPI number?

The NPI number for Lucy Wang is 1114424447. It was assigned to this individual provider in the NPPES registry on April 12, 2018.

Where is Lucy Wang located?

Lucy Wang practices at 3600 Broadway, Oakland, CA 94611. The listed phone number is (510) 752-1000.

What is Lucy Wang's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Lucy Wang enrolled in Medicare?

Yes. Lucy 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 Lucy Wang was last updated on September 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.