Individual provider Active NPI

Anna K Wong, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Encinitas, CA
National Provider Identifier
1093943052
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A99182 Issued in CA
Practice address
2067 Coolngreen Way
Encinitas, CA 92024-5405
Phone
(702) 241-2282
NPI assigned
Jun 29, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A99182 CA Primary

Addresses

Primary practice location

2067 Coolngreen Way
Encinitas, CA 92024-5405

Mailing address

2067 Coolngreen Way
Encinitas, CA 92024-5405
Phone (702) 241-2282

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
I20120605000306 CA Practitioner - Pathology 7719141605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Nevada School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Medical Plaza
Roseville, CA 95661-3037
Phone (916) 447-6267

11815 Education St
Auburn, CA 95602-2410
Phone (530) 447-6267

2000 Sutter PL
Davis, CA 95616-6201
Phone (916) 447-6267

2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 447-6267

300 Hospital Dr
Vallejo, CA 94589-2574
Phone (916) 447-6267

3301 C St
Sacramento, CA 95816-3363
Phone (916) 446-0424

4001 J St
Sacramento, CA 95816-3626
Phone (916) 446-0424

7500 Hospital Dr
Sacramento, CA 95823-5403
Phone (916) 447-6267

975 S Fairmont Ave
Lodi, CA 95240-5118
Phone (916) 447-6267

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.18 of 100Reported as group
Quality
80.24
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A99182CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Pathology Medical Group Inc Current Accepting new patients
Diagnostic Pathology Medical Group Inc Anatomic Pathology & Clinical Pathology Current Accepting new patients
Diagnostic Pathology Medical Group, Inc. Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2019 Accepting new patients
Diagnostic Pathology Medical Group Inc Anatomic Pathology & Clinical Pathology Current Accepting new patients
Lodi Memorial Hospital Association Inc Current Accepting new patients
Diagnostic Pathology Medical Group Inc Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2019 Accepting new patients
Diagnostic Pathology Medical Group Inc Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Diagnostic Pathology Medical Group Inc. Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Diagnostic Pathology Medical Group Inc Anatomic Pathology & Clinical Pathology Past Accepting new patients
Diagnostic Pathology Medical Group Inc Anatomic Pathology & Clinical Pathology Past Accepting new patients
Diagnostic Pathology Medical Group Inc Past Accepting new patients
Diagnostic Pathology Medical Group Inc Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

11815 Education St
Auburn, CA 95602
Phone (530) 447-6267

2000 Sutter Pl
Davis, CA 95616
Phone (530) 756-6440

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000

7500 Hospital Dr
Sacramento, CA 95823
Phone (916) 423-3000

3301 C St
Ste 200E
Sacramento, CA 95816
Phone (916) 446-0424

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

2825 Capitol Ave
Sacramento, CA 95816
Phone (916) 887-0000

2420 J St
Sacramento, CA 95816
Phone (916) 446-0424

2801 K St
Ste 235
Sacramento, CA 95816
Phone (916) 733-5073

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

Organizations & group practices 15

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 15

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281571200000",
    "number": "1093943052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2067 COOLNGREEN WAY",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245405",
            "telephone_number": "702-241-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2067 COOLNGREEN WAY",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245405",
            "telephone_number": "702-241-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ANNA",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2010-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A99182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.