DR. ELIZABETH WANG (MD) – Dermatology Physician, NPI 1043695174

DR. ELIZABETH WANG (MD) is a healthcare provider. based in San mateo, California. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. A164401 (CA). The NPI Number for DR. ELIZABETH WANG (MD) is 1043695174

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELIZABETH WANG (MD)
NPI
1043695174
Phone
(650) 727-6008
Address
280 BALDWIN AVE
Enumeration Date
30 July 2015
Last Update Date
6 October 2024

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Secondary Phone
6507276008
Graduation Year
2018 (8 years ago)
PAC ID
6002201761
Group Practice PAC ID
1052418175
Professional Enrollment ID
I20220315002174
Address ID
CA944013915SA280XXAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,140 DERMATOLOGY in CA

Provider Addresses for DR. ELIZABETH WANG (MD)

  • 280 BALDWIN AVE

    SAN MATEO, CA 944013915

    Phone: (650) 727-6008

    Type: Mailing

  • 4610 X ST

    SACRAMENTO, CA 958172200

    Phone: (916) 816-1728

    Type: Mailing

  • 2490 Hospital Dr Ste 201

    Mountain View, CA 940404124

    Phone: (650) 962-4600

    Type: Location

  • 795 EL CAMINO REAL

    FL 2, CLARK BUILDING

    PALO ALTO, CA 943012302

    Phone: (650) 853-2982

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $189.

Total Amount is formed as General ($189) + Research ($0) + Ownership ($0) = $189.

Last reported payment date: 2024-07-12 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($65).

Total Amount

$189

General + Research + Ownership

Payments

7

Total payment records

General Amount

$189

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-03-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220315002174IDermatologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths35453$0
99214Established patient office or other outpatient visit, 30-39 minutes197133$0
99213Established patient office or other outpatient visit, 20-29 minutes190149$0
17110Destruction of skin growth, 1-14 growths149113$0
17000Destruction of precancer skin growth, 1 growth10180$0
View full utilization report →

Insurance plans in this area (ZIP 94401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052418175View full group profile
NameSpecialtyState
Physician AssistantWI
D E R M A T O L O G YCA
D E R M A T O L O G YCA
O T O L A R Y N G O L O G YCA
D E R M A T O L O G YCA
Physician AssistantCA
D E R M A T O L O G YCA
D E R M A T O L O G YCA
Physician AssistantGA
D E R M A T O L O G YCA

Reviews

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Frequently asked questions

What identifier follows DR. ELIZABETH WANG (MD) across health systems?
The NPI 1043695174 uniquely identifies DR. ELIZABETH WANG (MD) in U.S. healthcare data.
Is DR. ELIZABETH WANG (MD)'s NPI status active today?
Active status means DR. ELIZABETH WANG (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. ELIZABETH WANG (MD)?
NPPES ties DR. ELIZABETH WANG (MD) to Dermatology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. ELIZABETH WANG (MD)?
The directory associates DR. ELIZABETH WANG (MD) with San Mateo, California. Check all listed addresses for suites or satellite offices.
Can I export DR. ELIZABETH WANG (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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