OrganizationActive
Jimmy I. Wang, DDS, a Professional Corporation
NPI 1194930982 · Dentist · San Diego, CA
Jimmy I. Wang, DDS, a Professional Corporation is a Dentist organization in San Diego, CA (NPI 1194930982).
Provider details
- NPI number
- 1194930982
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jimmy Wang, President(858) 487-6428
- License
- 51387 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10432 Reserve Drive
Suite 110
San Diego, CA 92127
Phone: (858) 487-6428
Street-level locationGet directions
Mailing address
11775 Scripps Lake Dr
San Diego, CA 92131-2374
Other names (DBA / former)
- Doing business as
- Dentistry at 4s Ranch
Registry dates
- Enumerated
- 2007-05-14
- Last updated
- 2020-08-22
Frequently asked questions
- What is Jimmy I. Wang, DDS, a Professional Corporation's NPI number?
- Jimmy I. Wang, DDS, a Professional Corporation's National Provider Identifier (NPI) is 1194930982, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jimmy I. Wang, DDS, a Professional Corporation?
- Jimmy I. Wang, DDS, a Professional Corporation is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Jimmy I. Wang, DDS, a Professional Corporation located?
- Jimmy I. Wang, DDS, a Professional Corporation's practice location on file with NPPES is 10432 Reserve Drive, San Diego, CA 92127.
- What is Jimmy I. Wang, DDS, a Professional Corporation's phone number?
- The practice phone number listed in the NPPES registry for Jimmy I. Wang, DDS, a Professional Corporation is (858) 487-6428.
- Who is the authorized official for Jimmy I. Wang, DDS, a Professional Corporation?
- The authorized official listed on Jimmy I. Wang, DDS, a Professional Corporation's NPPES record is Jimmy Wang, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jimmy I. Wang, DDS, a Professional Corporation's NPI active?
- Yes — Jimmy I. Wang, DDS, a Professional Corporation's NPI (1194930982) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.