PIN WEN WANG
NPI 1508102336
Occupational Therapist - Pediatrics in Rancho Cucamonga, CA
About Pin Wen Wang NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PIN WEN WANG (NPI 1508102336) is an individual pediatrics provider in Rancho Cucamonga, California, licensed in California (15168) and active in the NPI registry since December 2012.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pin Wen Wang is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Pin Wen Wang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fontana, CA 92336
- Reassigned Medicare billing, California enrollment
- 5,228 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.
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.
RANCHO CUCAMONGA, CA 91730
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 Pin Wen Wang's NPI number?
The NPI number for Pin Wen Wang is 1508102336. It was assigned to this individual provider in the NPPES registry on December 26, 2012. The provider is also known as Judy Wang.
Where is Pin Wen Wang located?
Pin Wen Wang practices at 10604 N Trademark Pkwy, Rancho Cucamonga, CA 91730. The listed phone number is (909) 476-5747.
What is Pin Wen Wang's specialty?
The primary specialty registered for this NPI is Occupational Therapist, specializing in Pediatrics, with taxonomy code 225XP0200X.
Is Pin Wen Wang enrolled in Medicare?
Yes. Pin Wen Wang is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Pin Wen Wang's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pin Wen Wang reassigns Medicare benefits to Southern California Permanente Medical Group (Fontana, 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 Pin Wen 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 Pin Wen Wang was last updated on October 25, 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.