Organization Active NPI

Lawrence D Wong MD

  • Family Medicine Physician
  • Carlsbad, CA
National Provider Identifier
1184151888
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C51460 Issued in CA
Legal business name
LAWRENCE D WONG MD
Practice address
2910 Jefferson St Ste 100
Carlsbad, CA 92008-2357
Phone
(760) 729-8600
Fax
(760) 729-1499
NPI assigned
May 12, 2017
Last updated
May 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Authorized official

Name
Yesenia Noble
Title
Billing Manager
Phone
(760) 729-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C51460 CA Primary

Addresses

Primary practice location

2910 Jefferson St Ste 100
Carlsbad, CA 92008-2357

Mailing address

2910 Jefferson St Ste 100
Carlsbad, CA 92008-2357
Phone (760) 729-8600

Other identifiers 1

IdentifierTypeStateIssuer
C51460MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1184151888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 JEFFERSON ST STE 100",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082357",
            "telephone_number": "760-729-8600",
            "fax_number": "760-729-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 JEFFERSON ST STE 100",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082357",
            "telephone_number": "760-729-8600",
            "fax_number": "760-729-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE D WONG MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "NOBLE",
        "authorized_official_first_name": "YESENIA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "760-729-8600"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C51460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C51460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.