Brian Wong, M.D.

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

A134904 Issued in CA

Practice address

1920 Hillhurst Ave Unit V794
Los Angeles, CA 90027-2712

Phone

(323) 849-0149

NPI assigned

Apr 3, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14973/brand/8/csg/1/fhir/r4
• Direct secure messaging: brian.wong.2@14973.direct.athenahealth.com
• Direct secure messaging: brianwong@wcn.allscriptsdirect.net

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.

• West Coast Neurology, Inc

  • Neurology Physician
  • South Pasadena, CA
  • NPI 1467897322
  Medicare reassignment NPD
• Cortica Healthcare Inc

  • Health Service Clinic/Center
  • San Diego, CA
  • NPI 1801288535
  NPD (past)

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1053706267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 HILLHURST AVE UNIT V794",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900272712",
            "telephone_number": "323-849-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 HILLHURST AVE UNIT V794",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900272712",
            "telephone_number": "323-849-0149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Fair Oaks Ave Ste 175",
            "address_purpose": "LOCATION",
            "city": "South Pasadena",
            "state": "CA",
            "postal_code": "910302683",
            "country_code": "US",
            "telephone_number": "626-598-3770",
            "fax_number": "626-598-3797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "BRIAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-03",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "CA",
            "license": "A134904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Wong, FNP
• Anna Mei Ting Wong, OTR
• Arthur H. Wong, MD
• Azeneth Victoria Wong
• Brandon James Wong, M.D.
• Brian Gordon Wong
• Brian Matthew Wong, PHARMD
• Cadence Wong
• Carl Lew Wong, LCSW
• Carolyn Wong, DPM

• Neurology with Special Qualifications in Child Neurology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Neurology with Special Qualifications in Child Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.