JIN WANG MD INC
NPI 1417730045
Internal Medicine - Nephrology in Upland, CA
About Jin Wang Md Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JIN WANG MD INC (NPI 1417730045) is a healthcare organization registered as a nephrology in Upland, California and active in the NPI registry since August 2023. The organization lists Jin Wang, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jin Wang Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jin Wang MD Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jin Wang MD Inc's NPI number?
The NPI number for Jin Wang MD Inc is 1417730045. It was assigned to this organization in the NPPES registry on August 16, 2023.
Where is Jin Wang MD Inc located?
Jin Wang MD Inc is located at 811 E 11th St Ste 206, Upland, CA 91786. The listed phone number is (909) 816-6258.
What is Jin Wang MD Inc's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Jin Wang MD Inc enrolled in Medicare?
Yes. Jin Wang MD Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jin Wang MD Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Jin Wang MD Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jin Wang MD Inc was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jin Wang Md Inc · NPI 1417730045
Nephrology organization in Upland, California. Organization record, active in the CMS NPPES registry since August 16, 2023.
## Identity
- **NPI:** 1417730045 (Entity type: Organization)
- **Enumerated:** August 16, 2023
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Jin Wang, PRESIDENT
## Practice location
- **Address:** 811 E 11TH ST STE 206, Upland, CA 91786-4872
- **Phone:** (909) 816-6258
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nephrology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 15, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1417730045) · Data from the CMS NPPES public registry.