NPIMap

Organization Active NPI

Tit Sang Li MD & Nga Wan Wong MD Inc

  • Ambulatory Family Planning Facility
  • Huntington Beach, CA
National Provider Identifier
1124119979
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Family Planning FacilityTaxonomy code 261QA0005X
License
A26311 Issued in CA
Legal business name
TIT SANG LI MD & NGA WAN WONG MD INC
Practice address
6552 Bolsa Ave
Suite N
Huntington Beach, CA 92647
Phone
(714) 898-9635
Fax
(714) 898-9637
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Authorized official

Name
Nga Wan Wong, MD
Title
Vice President
Phone
(714) 898-9635

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A26311 CA
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X A25684 CA
Ambulatory Family Planning Facility 261QA0005X A26311 CA Primary

Addresses

Primary practice location

6552 Bolsa Ave
Suite N
Huntington Beach, CA 92647

Mailing address

6181 Gleneagles Cir
Huntington Beach, CA 92648-5561
Phone (714) 898-9635

Other identifiers 2

IdentifierTypeStateIssuer
GR0002451MedicaidCA
GR0002450MedicaidCA

National Provider Directory

National Provider Directory

Locations

6552 Bolsa Ave
Ste N
Huntington Beach, CA 92647
Phone (714) 898-9635

6552 Bolsa Ave
Huntington Beach, CA 92647
Phone (714) 622-5877

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1124119979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6181 GLENEAGLES CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485561",
            "telephone_number": "714-898-9635",
            "fax_number": "714-898-9637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6552 BOLSA AVE",
            "address_2": "SUITE N",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92647",
            "telephone_number": "714-898-9635",
            "fax_number": "714-898-9637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIT SANG LI MD & NGA WAN WONG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "NGA",
        "authorized_official_middle_name": "WAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "714-898-9635",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A26311",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A25684",
            "primary": false
        },
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "CA",
            "license": "A26311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0002451",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0002450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.