Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alice Wang, PA-C

Individual provider Physician Assistant · NPI 1992210660

Alice Wang, PA-C is a Physician Assistant in San Clemente, California. Qualified in 2017, 9 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
9
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

831 Via Suerte Ste 102
San Clemente, CA 92673-6531
Phone: (949) 364-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 17095 Main St, Hesperia, CA 92345-6004 — (760) 956-4123

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1992210660
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 4, 2017
Last updated in NPPESAugust 10, 2023
Certification dateAugust 10, 2023
Mailing address831 Via Suerte Ste 102, San Clemente, CA 92673-6531

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in San Clemente