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MICHELLE WAN MD
NPI 1912657412
Internal Medicine in Sylmar, CA

Active since March 27, 2022PECOS Enrolled
14445 OLIVE VIEW DR, SYLMAR, CA 91342(747) 210-3000 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michelle Wan Md NPPES

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

MICHELLE WAN MD (NPI 1912657412) is an individual internal medicine provider in Sylmar, California, licensed in California (A198003) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912657412
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMICHELLE WANCredential: MD
Location Address14445 OLIVE VIEW DRSylmar, CA 91342-1437
Mailing Address14445 Olive View DrSylmar, CA 91342-1437
Phone(747) 210-3000
Sole ProprietorNo
Enumeration DateMarch 27, 2022
Last NPPES UpdateJanuary 28, 2025
NPPES CertifiedJanuary 28, 2025
✔ NPI 1912657412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A198003
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
14445 OLIVE VIEW DR, Sylmar, CA 91342
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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 (PECOS)

Michelle Wan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91342 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

COUNTY OF LOS ANGELES AUDITOR CONTROLLER
General Acute Care Hospital
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (818) 364-1555
DENNIS POON
Nurse Practitioner (Family)
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (747) 210-3000
SERENA KE MD
Student in an Organized Health Care Education/Training Program
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (747) 210-3205
DR. PAUL I LIU M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
14445 OLIVE VIEW DR, ROOM 1A116
SYLMAR, CA 91342
Los Angeles County (818) 364-4033
DR. ARTHUR JENG M.D.
Internal Medicine (Infectious Disease)
14445 OLIVE VIEW DR, 2B182
SYLMAR, CA 91342
Los Angeles County (818) 364-3205
MRS. CECILIA CORONADO PTA
Physical Therapy Assistant
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (747) 210-4245
COUNTY OF LOS ANGELES AUDITOR CONTROLLER
General Acute Care Hospital
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (818) 364-1555
MR. ANDRIY A KUZNETSOV PT
Physical Therapist
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (818) 364-4245

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 Michelle Wan's NPI number?

The NPI number for Michelle Wan is 1912657412. It was assigned to this individual provider in the NPPES registry on March 27, 2022.

Where is Michelle Wan located?

Michelle Wan practices at 14445 Olive View Dr, Sylmar, CA 91342. The listed phone number is (747) 210-3000.

What is Michelle Wan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michelle Wan enrolled in Medicare?

Yes. Michelle Wan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michelle Wan was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.