Jeffrey Wong, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

A114599 Issued in CA

Practice address

18785 Brookhurst St Ste 100
Fountain Valley, CA 92708-7300

Phone

(714) 500-5056

Fax

(949) 540-7148

NPI assigned

Dec 13, 2011

Last updated

Apr 22, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Orthopedic Surgery

Education

University of California, Irvine, California College of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

OrthowestGroup PAC ID 3072932623, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorialcare Orange Coast Medical Center Hospital, Fountain Valley, CA, CCN 050678

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: jeffrey.wong.1@17218.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orthowest

  • Orthopaedic Surgery Physician
  • Laguna Woods, CA
  • NPI 1760007330
  Medicare reassignment Care Compare group NPD
• South County Orthopedic Specialists

  • Specialist
  • Laguna Woods, CA
  • NPI 1053314625
  Medicare reassignment NPD
• William C. Kim, M.D., Inc

  • Specialist
  • Long Beach, CA
  • NPI 1366448763
  Medicare reassignment NPD
• Orthowest

  • Durable Medical Equipment & Medical Supplies
  • Fountain Valley, CA
  • NPI 1497356489

  Orthopaedic Surgery

  NPD
• William C. Kim, MD Inc

  • Specialist
  • Torrance, CA
  • NPI 1548265499
  NPD
• Long Beach Memorial Medical

  • Rehabilitation Hospital Unit
  • Long Beach, CA
  • NPI 1396791414
  NPD (past)
• Long Beach Memorial Medical

  dba Miller Children's Hospital

  • Children's Hospital
  • Long Beach, CA
  • NPI 1477596583
  NPD (past)
• Orange Coast Memorial Medical Center

  • General Acute Care Hospital
  • Fountain Valley, CA
  • NPI 1497702575
  NPD (past)
• Orthowest

  • Durable Medical Equipment & Medical Supplies
  • Los Alamitos, CA
  • NPI 1710588702

  Orthopaedic Surgery

  NPD (past)
• Providence Health System Southern California

  dba Providence Little Company of Mary Medical Center Torrance

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1902844988
  NPD (past)
• Saddleback Memorial Medical Center

  • Rehabilitation Hospital Unit
  • Laguna Hills, CA
  • NPI 1114967114
  NPD (past)
• Brigham and Women's Faulkner Hospital Inc

  • Psychiatric Hospital Unit
  • Boston, MA
  • NPI 1033121025
  NPD (past)

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

• Orange Coast Memorial Medical Center

  • General Acute Care Hospital
  • Fountain Valley, CA
  • NPI 1497702575
  Care Compare affiliation

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1164790507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24331 EL TORO RD",
            "address_2": "STE 200",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926373116",
            "telephone_number": "949-586-3200",
            "fax_number": "949-900-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18785 BROOKHURST ST STE 100",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087300",
            "telephone_number": "714-500-5056",
            "fax_number": "949-540-7148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Ucla Medical Ctr",
            "address_2": "757 Westwood Plaza, Room B-711",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900950001",
            "country_code": "US",
            "telephone_number": "310-825-6557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 E 28th St Ste 117",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908062772",
            "country_code": "US",
            "telephone_number": "562-426-9890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "JEFFREY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-13",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A114599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Womens Medical Corporation of Huntington Beach Apc
• Adam Ken Yip Wong, M.D.
• Arlet Wong
• Ashley Wong, DO
• Janice Anh Wong, PHAM.D.
• Jennifer L Wong, M.D.
• Jennifer Tomiko Wong, PTA
• Keith Michael Wong, OD
• Marilyn Wong
• Michael Henry Wong, D.O.

• Orthopaedic Surgery Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.