Individual provider Active NPI

Joe K Wong, MD

  • Internal Medicine Physician
  • Laguna Beach, CA
National Provider Identifier
1063442879
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G34262 Issued in CA
Practice address
31852 Coast Hwy Ste 201
Laguna Beach, CA 92651-6765
Phone
(949) 715-0505
Fax
(949) 715-0508
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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 G34262 CA Primary

Addresses

Primary practice location

31852 Coast Hwy Ste 201
Laguna Beach, CA 92651-6765

Mailing address

1714 Colina Terrestre
San Clemente, CA 92673-3651
Phone (949) 973-5448

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
I20040624000592 CA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 2264418078 Practice locations: Laguna Hills, CA

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gabor Kovacs MD a Medical Corporation Past Accepting new patients
Ocean Pacific Medical Corporation Internal Medicine PastSince Mar 1, 2022 Accepting new patients
South County Orthopedics Past Accepting new patients
Western Orthopedic Surgical Associates Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: joe.wong.p7@direct.monarchhealthcare.nextgenshare.com
  • Direct secure messaging: joe.wong@403964815278084.direct.elationemr.com

Organizations & group practices 4

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1063442879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 COLINA TERRESTRE",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926733651",
            "telephone_number": "949-973-5448",
            "fax_number": "949-493-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31852 COAST HWY STE 201",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516765",
            "telephone_number": "949-715-0505",
            "fax_number": "949-715-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "JOE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G34262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Beach, CA

Sources for this page

Verify at the official NPI Registry.