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DR. JENNIFER WANG MD
NPI 1902433394
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 25, 2020PECOS EnrolledAccepts Medicare Assignment
1200 N STATE STREET CLINIC TOWER, SUITE A7D, LOS ANGELES, CA 90033(323) 409-7556 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 31, 2023, Mar 25, 2020 (2 updates tracked since 2020).

About Dr. Jennifer Wang Md NPPES

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

DR. JENNIFER WANG MD (NPI 1902433394) 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. She is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2020).

NPPES Registry Identity

NPI1902433394
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. JENNIFER WANGCredential: MD
Location Address1200 N STATE STREET CLINIC TOWER, SUITE A7DLos Angeles, CA 90033-1029
Mailing Address1200 N State Street Clinic Tower, Suite A7dLos Angeles, CA 90033-1029
Phone(323) 409-7556
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2020
Enumeration DateMarch 25, 2020
Last NPPES UpdateOctober 31, 20232 updates tracked since enumeration
NPPES CertifiedMarch 25, 2020
✔ NPI 1902433394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
1200 N STATE STREET CLINIC TOWER, Los Angeles, CA 90033
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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

Dr. Jennifer 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 ID8921423641
PECOS Enrollment IDI20231122003368
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.

LINDA HUANG
Student in an Organized Health Care Education/Training Program
1200 N STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7556
KSHEERAJA RAVI MD
Student in an Organized Health Care Education/Training Program
1200 N STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7556
ROBERT STEPHEN IRELAND
Student in an Organized Health Care Education/Training Program
1200 N STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7556
ARI HAROUT NAZARIAN
Student in an Organized Health Care Education/Training Program
1200 N STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7556
REID GOODMAN
Internal Medicine (Infectious Disease)
1200 N STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7556
JENNIFER DORCAS HWANG MD
Student in an Organized Health Care Education/Training Program
1200 N STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7556
PHILLIP ABARCA
Student in an Organized Health Care Education/Training Program
1200 N STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7556
IRENE CHANG
Student in an Organized Health Care Education/Training Program
1200 N STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7556

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 Jennifer Wang's NPI number?

The NPI number for Jennifer Wang is 1902433394. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Jennifer Wang located?

Jennifer Wang practices at 1200 N State Street Clinic Tower Suite A7d, Los Angeles, CA 90033. The listed phone number is (323) 409-7556.

What is Jennifer 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 Jennifer Wang enrolled in Medicare?

Yes. Jennifer 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 Jennifer Wang was last updated on October 31, 2023. 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.