Active NPI
Melody Hoi-Wah Kwong, PA-C
- Physician Assistant
- Murrieta, CA
National Provider Identifier
1114334950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 51575
- Practice address
- 25455 Medical Center Dr
Suite #200
Murrieta, CA 92562-5963 - Phone
- (951) 894-7056
- Fax
- (951) 894-2702
- NPI assigned
- Jul 14, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 51575 | CA | Primary |
Addresses
Primary practice location
25455 Medical Center Dr
Suite #200
Murrieta, CA 92562-5963
Mailing address
800 N Tustin Ave
Ste G
Santa Ana, CA 92705-3605
Phone (714) 547-6111
Other names 1
- Melody Hoi-Wah So
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 N Tustin Ave
Suite G
Santa Ana, CA 92705-3605
Phone (714) 547-6111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51575 | CA | MD | Physician Assistant |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
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": "1405296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490832000000",
"number": "1114334950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 N TUSTIN AVE",
"address_2": "STE G",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053605",
"telephone_number": "714-547-6111",
"fax_number": "714-547-0833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25455 MEDICAL CENTER DR",
"address_2": "SUITE #200",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925625963",
"telephone_number": "951-894-7056",
"fax_number": "951-894-2702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWONG",
"first_name": "MELODY",
"middle_name": "HOI-WAH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-14",
"last_updated": "2017-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "51575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELODY",
"last_name": "SO",
"middle_name": "HOI-WAH",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.