Individual provider Active NPI

Ronald N Wong, M.D.

  • Specialist
  • Hanford, CA
National Provider Identifier
1184649220
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G342270 Issued in CA
Practice address
355 Campus Dr
Suite B
Hanford, CA 93230-4310
Phone
(559) 584-6684
Fax
(559) 584-6686
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G342270 CA Primary

Addresses

Primary practice location

355 Campus Dr
Suite B
Hanford, CA 93230-4310

Mailing address

355 Campus Dr
Suite B
Hanford, CA 93230-4310
Phone (559) 584-6684

Other identifiers 1

IdentifierTypeStateIssuer
00G342270MedicaidCA

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
I20101228000360 CA Practitioner - Otolaryngology 4981892452

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34227CAMDChiropractor
G342270CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hanford Community Hospital Past Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184649220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 CAMPUS DR",
            "address_2": "SUITE B",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304310",
            "telephone_number": "559-584-6684",
            "fax_number": "559-584-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 CAMPUS DR",
            "address_2": "SUITE B",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304310",
            "telephone_number": "559-584-6684",
            "fax_number": "559-584-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "RONALD",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G342270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G342270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

Verify at the official NPI Registry.