Eugene Wing-Tai Wong, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A124915 Issued in CA

Practice address

44301 Lorimer Ave
Lancaster, CA 93534

Phone

(661) 940-1112

NPI assigned

Mar 2, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Anesthesiology

Education

New York Medical College, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tip Top Anesthesia Group IncGroup PAC ID 0941429872, 45 clinicians

Usc Care Medical Group IncGroup PAC ID 0446157747, 1,378 clinicians

Pacific Valley Medical GroupGroup PAC ID 3577465368, 104 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Keck Hospital of Usc Hospital, Los Angeles, CA, CCN 050696
• Usc Arcadia Hospital Hospital, Arcadia, CA, CCN 050238

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Pacific Valley Medical Group

  • Anesthesiology Physician
  • Pasadena, CA
  • NPI 1851312862
  Medicare reassignment Care Compare group NPD
• Tip Top Anesthesia Group Inc

  • Licensed Practical Nurse
  • Beverly Hills, CA
  • NPI 1508283698
  Medicare reassignment Care Compare group NPD
• Usc Care Medical Group, Inc

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1902846306

  Anesthesiology

  Medicare reassignment Care Compare group NPD
• Citrus Valley Anesthesia Medical Group

  • Anesthesiology Physician
  • West Covina, CA
  • NPI 1912920331
  Medicare reassignment NPD
• Descanso Anesthesia Group

  • Anesthesiology Physician
  • Glendale, CA
  • NPI 1912573981
  Medicare reassignment NPD
• Equity Anesthesia

  • Anesthesiology Physician
  • Tarzana, CA
  • NPI 1134746456
  Medicare reassignment NPD
• Samaritan Anesthesiology Medical Group

  • Anesthesiology Physician
  • Los Angeles, CA
  • NPI 1982792743
  Medicare reassignment NPD
• Synergy Anesthesia Associates Inc

  • Anesthesiology Physician
  • San Gabriel, CA
  • NPI 1174001895
  NPD Authorized official
• Usc Care Medical Group, Inc

  dba Fair Oaks Clinic

  • Durable Medical Equipment & Medical Supplies
  • Pasadena, CA
  • NPI 1427937390
  NPD

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

• Keck Medical Center of Usc

  dba Keck Hospital of USC

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1013514199
  Care Compare affiliation
• Usc Arcadia Hospital

  • General Acute Care Hospital
  • Arcadia, CA
  • NPI 1508851288
  Care Compare affiliation

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1144543364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5486",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928635486",
            "telephone_number": "818-550-0900",
            "fax_number": "303-953-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44301 LORIMER AVE",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "93534",
            "telephone_number": "661-940-1112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "531 W College St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900122315",
            "country_code": "US",
            "telephone_number": "213-624-8411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "531 W College St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900122315",
            "country_code": "US",
            "telephone_number": "213-624-8411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "EUGENE",
        "middle_name": "WING-TAI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-02",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A124915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Della Lee Winter
• Nicholas Wolf
• Randall Alan Wolfe, CRT
• Peter Wolff, NP
• Edward Tze Wong, M.D.
• Honping Wong, DDS
• Jasmine Wong I, BCBA
• Sofia Valeria Wong
• Brad Winthrop Wood, MSW LCSW
• Anne Wooden, MA ED

• Anesthesiology Physician in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.

Verify at the official NPI Registry.