JESSICA WANG
NPI 1477130219
Family Medicine in Los Angeles, CA
About Jessica Wang NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA WANG (NPI 1477130219) is an individual family medicine provider in Los Angeles, California, licensed in California (20A22282) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fresno, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2021).
NPPES Registry Identity
Specialties & Licenses
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
Jessica 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 Jessica Wang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90095
- Reassigned Medicare billing, California enrollment
- 1,766 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90067 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90067
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 Jessica Wang's NPI number?
The NPI number for Jessica Wang is 1477130219. It was assigned to this individual provider in the NPPES registry on March 26, 2021.
Where is Jessica Wang located?
Jessica Wang practices at 10250 Santa Monica Blvd Ste 2440, Los Angeles, CA 90067. The listed phone number is (310) 286-0122.
What is Jessica Wang's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jessica Wang enrolled in Medicare?
Yes. Jessica 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 Jessica Wang's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Wang reassigns Medicare benefits to The Regents Of The University Of California (Los Angeles, 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 Jessica 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 Jessica Wang was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jessica Wang · NPI 1477130219
Family Medicine physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 26, 2021.
## Identity
- **NPI:** 1477130219 (Entity type: Individual)
- **Enumerated:** March 26, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 20A22282 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 10250 SANTA MONICA BLVD STE 2440, Los Angeles, CA 90067-6593
- **Phone:** (310) 286-0122 · **Fax:** (310) 286-0125
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Regents Of The University Of California (NPI 1235107566, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Kansas City University Of Med & Biosciences, College Of Osteo Med, class of 2021
## Record status
- **NPPES last updated:** September 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1477130219) · Data from the CMS NPPES public registry.