NPIMap

Individual provider Active NPI

Christopher Michael Wong, MD

  • Internal Medicine Physician
  • Rosemead, CA
National Provider Identifier
1124020623
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A63500 Issued in CA
Practice address
8622 Garvey Ave
Suite 103
Rosemead, CA 91770
Phone
(626) 280-6898
Fax
(626) 280-6899
NPI assigned
Aug 15, 2005
Reactivated
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A63500 CA Primary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X A63500 CA

Addresses

Primary practice location

8622 Garvey Ave
Suite 103
Rosemead, CA 91770

Mailing address

315 W Wistaria Ave
Arcadia, CA 91007
Phone (626) 447-0721

Other identifiers 1

IdentifierTypeStateIssuer
00A635000MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060911000394 CA Practitioner - Internal Medicine 9133169378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Los AngelesGroup PAC ID 1850296534, 395 clinicians

Practice addresses (Care Compare)

10953 Ramona Blvd
El Monte, CA 91731-2629
Phone (626) 434-2800

Hospital & facility affiliations

  • Los Angeles General Medical Center Hospital, Los Angeles, CA, CCN 050373
  • Lac/Rancho Los Amigos National Rehabilitation Ctr Hospital, Downey, CA, CCN 050717

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A63500CAMDAdolescent Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Jan 14, 2015 Accepting new patients
County of Los Angeles Current Accepting new patients
County of Los Angeles CurrentSince Jan 14, 2015 Accepting new patients
Christopher Michael Wong, MD,Inc Internal Medicine Past Accepting new patients
Garfield Comprehensive Care Medical Corp Internal Medicine Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

10953 Ramona Blvd
El Monte, CA 91731
Phone (626) 434-2500

Organizations & group practices 11

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.

Hospital & facility affiliations 2

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1124020623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W WISTARIA AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "91007",
            "telephone_number": "626-447-0721",
            "fax_number": "626-447-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8622 GARVEY AVE",
            "address_2": "SUITE 103",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "91770",
            "telephone_number": "626-280-6898",
            "fax_number": "626-280-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2009-12-11",
        "deactivation_date": "2005-11-10",
        "reactivation_date": "2006-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A63500",
            "primary": true
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "CA",
            "license": "A63500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A635000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

Verify at the official NPI Registry.