Provider Demographics
NPI:1962454348
Name:WANG, STEVEN Y (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:Y
Last Name:WANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3939 J ST STE 310
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95819-3666
Mailing Address - Country:US
Mailing Address - Phone:916-733-6990
Mailing Address - Fax:916-733-6985
Practice Address - Street 1:3939 J ST
Practice Address - Street 2:SUITE 310
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95819-3631
Practice Address - Country:US
Practice Address - Phone:916-733-6990
Practice Address - Fax:916-733-6985
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA70517207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAYYY20507YMedicaid
CAG90230Medicare UPIN
CAGT454ZMedicare PIN
CAYYY20507YMedicaid