Individual provider Active NPI

William Joseph Wong, M.D.

  • Diagnostic Radiology Physician
  • Huntington Beach, CA
National Provider Identifier
1023093770
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D93525 Issued in MD
Practice address
207 Lincoln Ave
Huntington Beach, CA 92648-3505
Phone
(434) 284-3469
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101235061 VA
Diagnostic Radiology Physician 2085R0202X MD.15278R LA
Diagnostic Radiology Physician 2085R0202X A87670 CA
Diagnostic Radiology Physician 2085R0202X D93525 MD Primary

Addresses

Primary practice location

207 Lincoln Ave
Huntington Beach, CA 92648-3505

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004

Other practice location 1

11995 Singletree Ln Ste 500
Eden Prairie, MN 55344-5349
Phone (952) 595-1301

Other names 1

  • Bill Joseph Wong Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA, MD3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20070122000656 WA Practitioner - Diagnostic Radiology 5496793309 Reassigns benefits to 1 organization
I20101201000575 CA Practitioner - Diagnostic Radiology 5496793309 Reassigns benefits to 6 organizations
I20220912001836 MD Practitioner - Diagnostic Radiology 5496793309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of Ny Upstate Medical University, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11995 Singletree LN
Suite 500
Eden Prairie, MN 55344-5336

11995 Singletree LN
Suite 500
Eden Prairie, MN 55344-5349

210 25TH Ave N
Suite 602
Nashville, TN 37203-1600

44000 Garfield Rd
Clinton Township, MI 48038-1125

6201 Greenleigh Ave
Middle River, MD 21220-2004

8200 E 34TH Cir N
Suite 1404
Wichita, KS 67226-1361

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A87670CAMDDiagnostic Radiology Physician
MD.15278RLAMDDiagnostic Radiology Physician
0101235061VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Okanogan Douglas County Hospital Dist 1 CurrentSince Jul 10, 2020 Accepting new patients
Johns Hopkins University CurrentSince Sep 6, 2022 Accepting new patients
Okanogan Douglas County Hospital Dist1 CurrentSince Jul 10, 2020 Accepting new patients
Okanogan Douglas County Hospital Dist 1 Current Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Feb 1, 2021 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Feb 1, 2021 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Jan 30, 2019 Accepting new patients
Johns Hopkins University CurrentSince Jul 1, 2022 Accepting new patients
Johns Hopkins University Current Accepting new patients
Icahn School of Medicine at Mount Sinai Diagnostic Radiology CurrentSince Dec 10, 2021 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Sep 1, 2020 Accepting new patients
Johns Hopkins University Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Red River Consultants, Inc Diagnostic Radiology CurrentSince Sep 29, 2017 Accepting new patients
Pontchartrain Diagnostic Imaging LLC Diagnostic Radiology CurrentSince Mar 1, 2018 Accepting new patients
Spirit Physician Services Inc. Diagnostic Radiology PastSince Dec 23, 2019 Accepting new patients
Universal Radiology Consultants PC Diagnostic Radiology PastSince Aug 12, 2017 Accepting new patients

Locations (25 of 46)

990 Wilkinson Trce
Ste 100
Bowling Green, KY 42103
Phone (270) 781-4043

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

1325 Andrea St
Ste 100
Bowling Green, KY 42104
Phone (270) 901-3454

746 Campbell Ln
Ste 101
Bowling Green, KY 42104
Phone (270) 843-9510

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

7901 Broadway
Flushing, NY 11373
Phone (718) 334-2156

313 N Main St
Ashland City, TN 37015
Phone (615) 792-1911

1622 Westgate Cir
Brentwood, TN 37027
Phone (629) 255-2609

1000 Health Park Dr
Ste 500
Brentwood, TN 37027
Phone (615) 886-4910

605 Glenwood Dr
Ste 200
Chattanooga, TN 37404
Phone (423) 698-1844

776 Weatherly Dr
Clarksville, TN 37043
Phone (931) 906-2004

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

101 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

1511 Donelson Pkwy
Dover, TN 37058
Phone (931) 232-5555

5001 E Main St
Erin, TN 37061
Phone (336) 944-6420

3310 Aspen Grove Dr
Ste 203
Franklin, TN 37067
Phone (615) 771-8274

4488 Carothers Pkwy
Ste 110
Franklin, TN 37067
Phone (615) 320-7387

1483 Nashville Pike
Ste 302
Gallatin, TN 37066
Phone (615) 230-8601

304 Northcreek Blvd
Goodlettsville, TN 37072
Phone (615) 859-8488

1160 Forest Retreat Rd
Hendersonville, TN 37075
Phone (615) 338-2000

102 Wessington Pl
Hendersonvlle, TN 37075
Phone (615) 418-2916

355 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 264-4000

Interoperability endpoints

  • Direct secure messaging: wwong1000122@direct.hopkinsmedicine.org
  • Direct secure messaging: william.wong@westgahealth.gadirect.net

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1023093770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 LINCOLN AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926483505",
            "telephone_number": "434-284-3469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11995 Singletree Ln Ste 500",
            "address_purpose": "LOCATION",
            "city": "Eden Prairie",
            "state": "MN",
            "postal_code": "553445349",
            "country_code": "US",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101235061",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "MD.15278R",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A87670",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D93525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BILL",
            "last_name": "WONG",
            "middle_name": "JOSEPH",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.