THEODORE THOMPSON WANG
NPI 1578199501
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

NPI Status: Active since March 21, 2020

Contact Information

4733 W SUNSET BLVD FL 3
LOS ANGELES, CA
ZIP 90027
Phone: (833) 574-2273

Get Directions Reviews

  • Individual
  • Male
  • Student in an Organized Health Care Educ...
  • PECOS Enrolled

About THEODORE WANG

This page provides the complete NPI Profile along with additional information for Theodore Wang, a primary care provider established in Los Angeles, California with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1578199501 assigned on March 2020. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated September 2025.

NPI
1578199501
Provider Name
THEODORE THOMPSON WANG
Gender
Male
Entity Type
Individual
Location Address
4733 W SUNSET BLVD FL 3 LOS ANGELES, CA 90027
Location Phone
(833) 574-2273
Mailing Address
4733 W SUNSET BLVD FL 3 LOS ANGELES, CA 90027
Is Sole Proprietor?
No
Enumeration Date
03-21-2020
Last Update Date
09-09-2025
Code Navigator

A primary care provider (PCP) like Theodore Wang sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 401 Bicentennial Way
    Santa Rosa, CA 95403
    (707) 393-4000

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

A181864 (CA)

Medicare Participation & PECOS Enrollment Status

Theodore Wang is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for THEODORE THOMPSON WANG

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1578199501
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25148291850
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 4 + 8 + 2 + 9 + 1 + 8 + 5 + 0 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1578199501 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1669731295 JENNIFER JEAN LEE M.D.
Individual
Student in an Organized Health Care Education/Training Program4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
(323) 783-1430
1265792774 HANA JEON
Individual
Student in an Organized Health Care Education/Training Program4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
(323) 783-4892
1205196318 ANGIE TSZ-YING NG M.D.
Individual
Student in an Organized Health Care Education/Training Program4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
(323) 783-4516
1639439755 MAYA REMINGTON M.D.
Individual
Student in an Organized Health Care Education/Training Program4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
(707) 292-1719
1376988964 LAURA JENNIFER HUANG M.D.
Individual
Student in an Organized Health Care Education/Training Program4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
(323) 783-1406
1073932919MS. TRACY LIGGETT
Individual
Student in an Organized Health Care Education/Training Program4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
(714) 330-0397
1972949469MR. YOUNG IL KIM D.O.
Individual
Family Medicine4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
(323) 783-4516
1053765073DR. ANDY PANG YAN HUANG MD
Individual
Student in an Organized Health Care Education/Training Program4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
(562) 277-5055
1881040533MR. MATTHEW JORDAN FRAGER M.D.
Individual
Student in an Organized Health Care Education/Training Program4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
(408) 851-3914
1740784263 MICHELLE WANG MD
Individual
Student in an Organized Health Care Education/Training Program4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
(323) 783-4616
1720582059 MICHELLE WEIYEE CHENG
Individual
Student in an Organized Health Care Education/Training Program4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
(408) 220-5843
1619465630 GORDON WITHERS MD
Individual
Student in an Organized Health Care Education/Training Program4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
(949) 887-5530
1932669728DR. ABHISHEK K JAIRAM MD
Individual
Student in an Organized Health Care Education/Training Program4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
(805) 796-7299
1265068282 MELISSA MENG LING MD
Individual
Student in an Organized Health Care Education/Training Program4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
(323) 783-4516
1497382055 JOHN SHAHIN
Individual
Student in an Organized Health Care Education/Training Program4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
(323) 783-1431
1013544436 ANDREW CHRISTOPHER NELSON
Individual
Student in an Organized Health Care Education/Training Program4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
(925) 984-7805
1194143438DR. LANCE WILLIAM CHAPMAN M.D., MBA
Individual
Dermatology (MOHS-Micrographic Surgery)4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
(323) 783-0339
1902166564DR. SAMINE RAVANBAKHSH M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
(559) 285-3801
1295311710DR. REBECCA H MOON MD
Individual
Student in an Organized Health Care Education/Training Program4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
(323) 783-0339
1578958567 BRIAN QUINN
Individual
Radiology (Vascular & Interventional Radiology)4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
(626) 367-1383

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578199501, enumerated in the NPI registry as an "individual" on March 21, 2020

The provider is located at 4733 W Sunset Blvd Fl 3 Los Angeles, Ca 90027 and the phone number is (833) 574-2273

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

This NPI record was last updated on March 21, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.