Individual provider Active NPI

Monica A Wong, M.D.

  • Internal Medicine Physician
  • Pomona, CA
National Provider Identifier
1023190733
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A63973 Issued in CA
Practice address
750 S Park Ave
Pomona, CA 91766-3129
Phone
(909) 868-0235
Fax
(909) 623-0571
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A63973 CA Primary

Addresses

Primary practice location

750 S Park Ave
Pomona, CA 91766-3129

Mailing address

PO Box 30220
Los Angeles, CA 90030-0220
Phone (562) 803-0124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090611000627 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Infectious Disease 1557411683 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Infectious Disease
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Los Angeles County Department of Public HealthGroup PAC ID 3072966621, 40 clinicians

Practice addresses (Care Compare)

330 W Maple Ave
Monrovia, CA 91016-3332
Phone (626) 256-1600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A63973CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince May 16, 2020 Accepting new patients
County of Los Angeles CurrentSince May 16, 2020 Accepting new patients
County of Los Angeles Current Accepting new patients
Los Angeles County Department of Public Health CurrentSince Nov 14, 2023 Accepting new patients
Rancho Faculty Medical Associates, Inc. Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

5555 Ferguson Dr
Ste 10050
Commerce, CA 90022
Phone (213) 240-8220

7601 Imperial Hwy
Downey, CA 90242
Phone (310) 940-8111

123 W Manchester Blvd
Inglewood, CA 90301
Phone (310) 419-5325

335 E Avenue K6
Ste B
Lancaster, CA 93535
Phone (661) 471-4810

330 W Maple Ave
Monrovia, CA 91016
Phone (626) 232-9072

750 S Park Ave
Pomona, CA 91766
Phone (909) 622-6516

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1023190733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900300220",
            "telephone_number": "562-803-0124",
            "fax_number": "562-803-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S PARK AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917663129",
            "telephone_number": "909-868-0235",
            "fax_number": "909-623-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "MONICA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A63973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.