THEODORE THOMPSON WANG
NPI 1578199501
Student in an Organized Health Care Education/Training Program in Los Angeles, CA
About Theodore Thompson Wang NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THEODORE THOMPSON WANG (NPI 1578199501) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Rosa, and is a graduate of University Of Southern California Keck School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses 2
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
Theodore Thompson 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 Reassignments
2Medicare enrollment records show Theodore Wang reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90033
- Reassigned Medicare billing, California enrollment
- 2,445 clinicians in this Medicare group
Santa Clara, CA 95051
- Reassigned Medicare billing, California enrollment
- 20,078 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.
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
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 Theodore Wang's NPI number?
The NPI number for Theodore Wang is 1578199501. It was assigned to this individual provider in the NPPES registry on March 21, 2020.
Where is Theodore Wang located?
Theodore Wang practices at 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027. The listed phone number is (833) 574-2273.
What is Theodore 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 Theodore Wang enrolled in Medicare?
Yes. Theodore 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 organizations bill Medicare for Theodore Wang's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Wang reassigns Medicare benefits to 2 organizations: Usc Care Medical Group, Inc (Los Angeles, CA) and Permanente Medical Group Inc (Santa Clara, CA). Each 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 Theodore 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 Theodore Wang was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Theodore Thompson Wang · NPI 1578199501
Student in an Organized Health Care Education/Training Program provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 21, 2020.
## Identity
- **NPI:** 1578199501 (Entity type: Individual)
- **Enumerated:** March 21, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 4733 W SUNSET BLVD FL 3, Los Angeles, CA 90027-6021
- **Phone:** (833) 574-2273
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Usc Care Medical Group, Inc (NPI 1902846306, Los Angeles, CA); Permanente Medical Group Inc (NPI 1073606299, Santa Clara, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Southern California Keck School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** September 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1578199501) · Data from the CMS NPPES public registry.