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

Jackson Wang, MD

Individual provider Nephrology Physician · NPI 1003183617

Jackson Wang, MD is a Nephrology in Grass Valley, California. Qualified in 2008, 18 years ago. Practices with Summit Nephrology Medical Group, Inc, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

10058 Wolf Rd
Grass Valley, CA 95949-8194
Phone: (530) 268-7708
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence A119259 (CA)

Record details

NPI number1003183617
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 28, 2011
Last updated in NPPESMay 19, 2015
Mailing address10058 Wolf Rd, Grass Valley, CA 95949-8194

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Summit Nephrology Medical Group, Inc. — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services