DERRICK JAMES WANG MD
NPI 1942833736
Ophthalmology - Glaucoma Specialist in Los Angeles, CA

Active since February 19, 2020PECOS EnrolledAccepts Medicare Assignment
1120 W WASHINGTON BLVD FL 2, LOS ANGELES, CA 90015(213) 789-5030 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 15, 2025, Apr 1, 2021, Feb 19, 2020 (3 updates tracked since 2020).

About Derrick James Wang Md NPPES

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

DERRICK JAMES WANG MD (NPI 1942833736) is an individual glaucoma specialist in Los Angeles, California, licensed in California (A201157) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1942833736
Entity TypeIndividualMale
Primary Taxonomy207WX0009X
Provider Legal NameDERRICK JAMES WANGCredential: MD
Location Address1120 W WASHINGTON BLVD FL 2Los Angeles, CA 90015-3316
Mailing Address14726 Ramona Ave Ste 203Chino, CA 91710-5730 · (626) 305-9100 · Fax (626) 305-0152
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 19, 2020
Last NPPES UpdateJuly 1, 20263 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1942833736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Glaucoma SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0009X
License✔ Licensed in CA · A201157
Definition
An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.
1120 W WASHINGTON BLVD FL 2, Los Angeles, CA 90015

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

Derrick James 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 ID5991105694
PECOS Enrollment IDI20250703003152
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Derrick Wang reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
1670 E 120TH ST
Los Angeles, CA 90059
  • Reassigned Medicare billing, California enrollment
  • 435 clinicians in this Medicare group
General Practice
1520 SAN PABLO ST
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 2,445 clinicians in this Medicare group
Ophthalmology
2619 E COLORADO BLVD # 150
Pasadena, CA 91107
  • Reassigned Medicare billing, California enrollment
  • 70 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90015 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$15.25 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$69.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
1120 W WASHINGTON BLVD FL 2
LOS ANGELES, CA 90015

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 Derrick Wang's NPI number?

The NPI number for Derrick Wang is 1942833736. It was assigned to this individual provider in the NPPES registry on February 19, 2020.

Where is Derrick Wang located?

Derrick Wang practices at 1120 W Washington Blvd Fl 2, Los Angeles, CA 90015. The listed phone number is (213) 789-5030.

What is Derrick Wang's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Glaucoma Specialist, with taxonomy code 207WX0009X.

Is Derrick Wang enrolled in Medicare?

Yes. Derrick 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 Derrick Wang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derrick Wang reassigns Medicare benefits to 3 organizations: County Of Los Angeles (Los Angeles, CA), Usc Care Medical Group, Inc (Los Angeles, CA) and Azul Vision Inc. (Pasadena, 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 Derrick 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 Derrick Wang was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.