1. Home
  2. Directory
  3. California
  4. Tustin
  5. Nurse Practitioner
  6. NPI Profile

SUSAN WANG FNP-BC
NPI 1952188062
Nurse Practitioner - Family in Tustin, CA

Active since September 12, 2023
17612 17TH ST STE 101, TUSTIN, CA 92780(714) 243-5450 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 31, 2023, Oct 24, 2023, Oct 9, 2023 and 1 more (4 updates tracked since 2023).

About Susan Wang Fnp-bc NPPES

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

SUSAN WANG FNP-BC (NPI 1952188062) is an individual family provider in Tustin, California, licensed in California (95027424) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1952188062
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSAN WANGCredential: FNP-BC
Location Address17612 17TH ST STE 101Tustin, CA 92780-1962
Mailing Address17612 17th St Ste 101Tustin, CA 92780-1962 · (714) 243-5450
Phone(714) 243-5450
Sole ProprietorYes
Enumeration DateSeptember 12, 2023
Last NPPES UpdateOctober 24, 20234 updates tracked since enumeration
NPPES CertifiedOctober 24, 2023
✔ NPI 1952188062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95027424
17612 17TH ST STE 101, Tustin, CA 92780
Open in Google Maps ↗

Other Providers at the Same Location NPPES 10

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

HENRY C. LUU
Physician Assistant
17612 17TH ST STE 101
TUSTIN, CA 92780
Orange County (714) 243-5450
JACQUELINE QI PA
Physician Assistant
17612 17TH ST STE 101
TUSTIN, CA 92780
Orange County (714) 243-5450
SOL ENRIQUEZ ESTRELLA FNP-BC
Nurse Practitioner (Family)
17612 17TH ST STE 101
TUSTIN, CA 92780
Orange County (714) 243-5450
MELISSA JEAN HEAVIRLAND PA-C
Physician Assistant
17612 17TH ST STE 101
TUSTIN, CA 92780
Orange County (714) 243-5450
JACOB LISCANO
Nurse Practitioner (Family)
17612 17TH ST STE 101
TUSTIN, CA 92780
Orange County (714) 243-5450
ANDREW RIZEQ
Physician Assistant
17612 17TH ST STE 101
TUSTIN, CA 92780
Orange County (714) 243-5450
AMY TRAN PA-C
Physician Assistant
17612 17TH ST STE 101
TUSTIN, CA 92780
Orange County (714) 243-5450
NATHAN HWANG
Physician Assistant
17612 17TH ST STE 101
TUSTIN, CA 92780
Orange County (714) 243-5450

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 Susan Wang's NPI number?

The NPI number for Susan Wang is 1952188062. It was assigned to this individual provider in the NPPES registry on September 12, 2023.

Where is Susan Wang located?

Susan Wang practices at 17612 17th St Ste 101, Tustin, CA 92780. The listed phone number is (714) 243-5450.

What is Susan Wang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Susan Wang was last updated on October 24, 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.