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Jackson Wang

Nephrologist

10058 Wolf Rd
Grass Valley , California 95949-8194

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Jackson Wang

Nephrologist

10058 Wolf Rd
Grass Valley , California 95949-8194

(530) 268-7708

Write a Review Save Call

Jackson Wang

Nephrologist

10058 Wolf Rd
Grass Valley , California 95949-8194

(530) 268-7708 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nephrologist

Languages spoken

  • English

Location

10058 Wolf Rd Grass Valley , California 95949-8194

First Address

  • Jackson Wang
  • 10058 Wolf Rd
  • Grass Valley, CA
  • Zip : 95949-8194
  • Phone : (530) 268-7708

Second Address

  • Jackson Wang
  • 10058 Wolf Rd
  • Grass Valley, CA
  • Zip : 95949-8194
  • Phone : (530) 268-7708

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FAQs


Where did Jackson Wang attend graduate school?

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Where did Jackson Wang do his residency?

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Where did Jackson Wang do his fellowship?

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Is Jackson Wang board certified?

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What type of doctor is Jackson Wang

Nephrologist

In what state does Jackson Wang practice in?

California

Where is Jackson Wang ’s practice located?

10058 Wolf Rd , Grass Valley, California, 95949-8194

What is Jackson Wang ’s gender?

Male

Is Jackson Wang a sole practitioner?

No

Is Jackson Wang accepting new patients?

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What languages does Jackson Wang speak?

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Does Jackson Wang accept insurance?

Yes, Jackson Wang accepts insurance

Does Jackson Wang offers telemedicine?

Jackson Wang has not indicated if he offers telemedicine

What is Jackson Wang ’s professional license number?

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What is Jackson Wang ’s NPI number?

1003183617

Does Jackson Wang have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207RN0300X Nephrologist A119259 CA

National Provider Identifier

NPI 1003183617
Provider Name Jackson Wang
First Address Grass Valley, CA 95949-8194
Second Address Grass Valley, CA 95949-8194
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 28/11/2011
Last Update Date 19/05/2015

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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