PENGCHENG WANG MD
NPI 1699120592
Student in an Organized Health Care Education/Training Program in Santa Monica, CA

Active since April 28, 2016PECOS EnrolledAccepts Medicare Assignment
1250 16TH ST, SUITE 3142, SANTA MONICA, CA 90404(919) 260-1229 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pengcheng Wang Md NPPES

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

PENGCHENG WANG MD (NPI 1699120592) is an individual student in an organized health care education/training program in Santa Monica, California and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (2016).

NPPES Registry Identity

NPI1699120592
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePENGCHENG WANGCredential: MD
Location Address1250 16TH ST, SUITE 3142Santa Monica, CA 90404-1249
Mailing Address4498 Bacon CtPleasanton, CA 94588-3918 · (919) 260-1229
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 2016
Enumeration DateApril 28, 2016
Last NPPES UpdateSeptember 20, 2022
NPPES CertifiedSeptember 20, 2022
NPI 1699120592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1250 16TH ST, Santa Monica, CA 90404

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Pengcheng Wang Md 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.

PECOS PAC ID8628320207
PECOS Enrollment IDI20221013003519
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.

Nurse Practitioner
1250 16TH ST
SANTA MONICA, CA 90404
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1250 16TH ST
SANTA MONICA, CA 90404
Emergency Medicine
1250 16TH ST
SANTA MONICA, CA 90404
Nurse Practitioner (Acute Care)
1250 16TH ST
SANTA MONICA, CA 90404
Nurse Practitioner
1250 16TH ST
SANTA MONICA, CA 90404
Pharmacist
1250 16TH ST
SANTA MONICA, CA 90404
Nurse Practitioner (Family)
1250 16TH ST
SANTA MONICA, CA 90404
Nurse Practitioner (Acute Care)
1250 16TH ST
SANTA MONICA, CA 90404

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 Pengcheng Wang's NPI number?

The NPI number for Pengcheng Wang is 1699120592. It was assigned to this individual provider in the NPPES registry on April 28, 2016.

Where is Pengcheng Wang located?

Pengcheng Wang practices at 1250 16th St Suite 3142, Santa Monica, CA 90404. The listed phone number is (919) 260-1229.

What is Pengcheng 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 Pengcheng Wang enrolled in Medicare?

Yes. Pengcheng 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.

When was this NPI record last updated?

The NPPES record for Pengcheng Wang was last updated on September 20, 2022. 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.