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KARISSA WANG MD
NPI 1366207607
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since February 15, 2024PECOS Enrolled
885 TIVERTON DRIVE, LOS ANGELES, CA 90095(310) 825-6373 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Karissa Wang Md NPPES

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

KARISSA WANG MD (NPI 1366207607) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366207607
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKARISSA WANGCredential: MD
Location Address885 TIVERTON DRIVELos Angeles, CA 90095-0001
Mailing Address885 Tiverton DriveLos Angeles, CA 90095-0001 · (310) 825-6373
Phone(310) 825-6373
Sole ProprietorYes
Enumeration DateFebruary 15, 2024
NPPES CertifiedFebruary 15, 2024
✔ NPI 1366207607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.

885 TIVERTON DRIVE, Los Angeles, CA 90095
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karissa 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.

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.

ISAURA FROST LINS PHD
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6373
ESMERALDA RUIZ
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6373
KUSHAGRA TEWARI MD
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6373
ZOE REBECCA FORD ADELSHEIM
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6373
RUJUTA SAMIR SATHE
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Los Angeles County (408) 594-5925
TANYA DATTA
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6373
YADIRA LIZBETH BRIBIESCA LEON MD
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6373
EMMA CLAIRE BILLINGS
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6373

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 Karissa Wang's NPI number?

The NPI number for Karissa Wang is 1366207607. It was assigned to this individual provider in the NPPES registry on February 15, 2024.

Where is Karissa Wang located?

Karissa Wang practices at 885 Tiverton Drive, Los Angeles, CA 90095. The listed phone number is (310) 825-6373.

What is Karissa 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 Karissa Wang enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Karissa Wang was last updated on February 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.