Elisa Nerez Wong, B.S., PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 15291 Issued in CA

Practice address

3650 Mission Ave
Suite 1
Carmichael, CA 95608-2933

Phone

(916) 972-0882

Fax

(916) 972-0649

NPI assigned

Apr 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ritchie Wong MD IncGroup PAC ID 8022232404, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science, Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: ewong16060@hpmg.direct-ci.net

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.

• Ritchie Wong, MD, Inc

  • Family Medicine Physician
  • Carmichael, CA
  • NPI 1245424092
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1174589931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 MISSION AVE",
            "address_2": "SUITE 1",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956082933",
            "telephone_number": "916-972-0882",
            "fax_number": "916-972-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 MISSION AVE",
            "address_2": "SUITE 1",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956082933",
            "telephone_number": "916-972-0882",
            "fax_number": "916-972-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ELISA",
        "middle_name": "NEREZ",
        "name_prefix": "Ms.",
        "credential": "B.S., PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA 15291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G349230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Flake Witztum, M.D.
• David Wolf, P.A.
• David L Wolf, MD
• Madison Wolf
• Women'S Health Care Consultants Medical Group, Incorporated
• Jennifer Wong
• Mun Wong, M.D.
• Ridgley F Wong, MD
• Ritchie Wong, M.D.
• John Wood, DO

• Medical Physician Assistant in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.