Individual provider Active NPI

Elain Wen-Shang Tong, D.O.

  • Family Medicine Physician
  • Irvine, CA
National Provider Identifier
1164610713
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A 9893 Issued in CA
Practice address
18 Endeavor Ste 304
Irvine, CA 92618-3177
Phone
(714) 556-8664
Fax
(714) 556-8665
NPI assigned
Oct 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 20A 9893 CA
Family Medicine Physician 207Q00000X 20A 9893 CA Primary

Addresses

Primary practice location

18 Endeavor Ste 304
Irvine, CA 92618-3177

Mailing address

PO Box 54188
Irvine, CA 92619-4188
Phone (714) 556-8664

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
I20090501000249 CA Practitioner - Family Practice 4981762556 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18 Endeavor
Suite 304
Irvine, CA 92618-3177
Phone (714) 556-8664

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A 9893CAMDFamily Medicine Physician
9893CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yee-Wing Tong M D Inc Pain Medicine CurrentSince May 14, 2008 Accepting new patients
Elain Wen-Shang Tong, DO Inc Family Medicine CurrentSince Aug 27, 2024 Accepting new patients

Locations

18 Endeavor
Ste 304
Irvine, CA 92618
Phone (714) 556-8664

Organizations & group practices 2

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 1

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": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1164610713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54188",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926194188",
            "telephone_number": "714-556-8664",
            "fax_number": "714-556-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 ENDEAVOR STE 304",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183177",
            "telephone_number": "714-556-8664",
            "fax_number": "714-556-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONG",
        "first_name": "ELAIN",
        "middle_name": "WEN-SHANG",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "20A 9893",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A 9893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.