SEAN WANG (PA-C) – Physician Assistant, NPI 1124654082

SEAN WANG (PA-C) is a healthcare provider. based in Los angeles, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA61375 (CA). The NPI Number for SEAN WANG (PA-C) is 1124654082

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
SEAN WANG (PA-C)
NPI
1124654082
Phone
(626) 457-6601
Address
PO BOX 31309
Enumeration Date
22 March 2020
Last Update Date
24 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8188435111
Graduation Year
2022 (4 years ago)
PAC ID
8729455043
Group Practice PAC ID
2961308036
Professional Enrollment ID
I20221029000205
Address ID
CA915054809BU501XXSTXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:6State licenses:1Digital endpointsOther names

10,564 PHYSICIAN ASSISTANT in CA

Provider Addresses for SEAN WANG (PA-C)

  • PO BOX 31309

    LOS ANGELES, CA 900310309

    Phone: (626) 457-6601

    Type: Mailing

  • 1310 CLUB DR

    VALLEJO, CA 945921187

    Phone:

    Type: Mailing

  • 911 MADRONE AVE

    VALLEJO, CA 945921165

    Phone: (619) 630-7669

    Type: Location

  • 300 W HUNTINGTON DR

    ARCADIA, CA 910073402

    Phone: (626) 898-8000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $119.

Total Amount is formed as General ($119) + Research ($0) + Ownership ($0) = $119.

Last reported payment date: 2023-11-17 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($119).

Total Amount

$119

General + Research + Ownership

Payments

1

Total payment records

General Amount

$119

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-17

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: 2022-10-29

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
I20221029000205IPhysician AssistantCATBD

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
99285Emergency department visit with high level of medical decision making116113$0
99284Emergency department visit with moderate level of medical decision making9896$0
99283Emergency department visit with low level of medical decision making2121$0
View full utilization report →

Insurance plans in this area (ZIP 90031)

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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: 2961308036View full group profile
NameSpecialtyState
Emergency MedicineIL
-CA
Emergency MedicineCA
Emergency MedicineCA
Nurse PractitionerIN
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineIL

Reviews

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Frequently asked questions

How do payers reference SEAN WANG (PA-C)?
For SEAN WANG (PA-C), use NPI 1124654082 as the unique 10-digit identifier.
Is SEAN WANG (PA-C) shown as active in public data?
Registry records indicate SEAN WANG (PA-C) maintains an active NPI.
What expertise is attributed to SEAN WANG (PA-C)?
SEAN WANG (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SEAN WANG (PA-C)?
Travel planning: use Los Angeles, California as the reference point for SEAN WANG (PA-C), then confirm.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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