Grace I Wong, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD 432620 Issued in PA

Practice address

3808 W Riverside Dr Ste 201
Burbank, CA 91505-4339

Phone

(818) 563-1449

Fax

(818) 563-1049

NPI assigned

Aug 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Internal Medicine

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Preferred Choice Home Health Care, Inc Home health agency, Reseda, CA, CCN 559037
• Providence Saint Joseph Medical Ctr Hospital, Burbank, CA, CCN 050235
• Burbank Healthcare & Rehab Nursing home, Burbank, CA, CCN 056129
• Vineland Post Acute Nursing home, North Hollywood, CA, CCN 555011
• Studio City Rehabilitation Center Nursing home, Studio City, CA, CCN 555686
• Providence St Elizabeth Care Center Nursing home, North Hollywood, CA, CCN 055192

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7032/brand/1/csg/1/fhir/r4
• Direct secure messaging: grace.wong.p1@direct.lakeside.nextgenshare.com

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.

• Grace Wong MD Inc

  • Internal Medicine Physician
  • Burbank, CA
  • NPI 1659648384
  Medicare reassignment NPD Authorized official
• Verdant Medicine, PC

  • Hospitalist Physician
  • Laguna Hills, CA
  • NPI 1578943023
  Medicare reassignment NPD
• St. Joseph Hospitalist Medical Group, Inc.

  • Internal Medicine Physician
  • Burbank, CA
  • NPI 1396166971
  Medicare reassignment
• Dignity Health

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1104981661
  NPD (past)
• Emanate Health Medical Center

  • General Acute Care Hospital
  • West Covina, CA
  • NPI 1063441293
  NPD (past)
• Emanate Health Medical Center

  • General Acute Care Hospital
  • Covina, CA
  • NPI 1982629440
  NPD (past)
• Emily'S Home Health Care Inc

  • Home Infusion Agency
  • Van Nuys, CA
  • NPI 1568232643
  NPD (past)
• Epic Medical Group,Inc

  • Critical Care Medicine (Internal Medicine) Physician
  • Sherman Oaks, CA
  • NPI 1295178689
  NPD (past)
• Providence Health System - Southern California

  • General Acute Care Hospital
  • Burbank, CA
  • NPI 1336173269
  NPD (past)
• Providence Health System - Southern California

  • General Acute Care Hospital
  • Mission Hills, CA
  • NPI 1477587632
  NPD (past)
• Providence Health & Services - Wa

  • Skilled Nursing Facility
  • Chewelah, WA
  • NPI 1700038197
  NPD (past)

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

• Burbank Healthcare LLC

  • Skilled Nursing Facility
  • Burbank, CA
  • NPI 1518036060

  Nursing home

  Care Compare affiliation
• Colonial Post Acute LLC

  • Skilled Nursing Facility
  • North Hollywood, CA
  • NPI 1992382907

  Nursing home

  Care Compare affiliation
• Preferred Choice Home Health Care, Inc.

  • Home Health Agency
  • Reseda, CA
  • NPI 1417441411
  Care Compare affiliation
• Providence Health System - Southern California

  • General Acute Care Hospital
  • Burbank, CA
  • NPI 1336173269
  Care Compare affiliation
• Providence Health System - Southern California

  • Skilled Nursing Facility
  • North Hollywood, CA
  • NPI 1477647444

  Nursing home

  Care Compare affiliation
• Studio City Convalescent Hospital LLC

  • Skilled Nursing Facility
  • Studio City, CA
  • NPI 1821160839

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1053504902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 W RIVERSIDE DR STE 201",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054339",
            "telephone_number": "818-563-1449",
            "fax_number": "818-563-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 W RIVERSIDE DR STE 201",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054339",
            "telephone_number": "818-563-1449",
            "fax_number": "818-563-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "GRACE",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD 432620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101996474",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYP 2",
            "identifier": "1659648384",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Woltman, PSY.D.
• Vanessa Womack, LMFT
• Womens Pavilion Medical Group Inc
• Alan K Wong, MD
• Brittaney Victoria Wong
• Jenny C Wong, PHARMD
• Karlton Wong, MD
• Kathryn Nicole Wong
• Jeanie Woo, MD
• Jong Duk Woo

• Internal Medicine Physician in Burbank, CA
• Providers in Burbank, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.