Active NPI
Melissa Wong
- Urology Physician
- La Mesa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- A195509
- Practice address
- 8851 Center Dr Ste 501
La Mesa, CA 91942-3033 - Phone
- (619) 697-2456
- Fax
- (858) 429-7930
- NPI assigned
- Mar 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A195509 | CA | |
| Urology Physician | 208800000X | A195509 | CA | Primary |
Addresses
Primary practice location
8851 Center Dr Ste 501
La Mesa, CA 91942-3033
Mailing address
PO Box 845996
Los Angeles, CA 90084-5996
Phone (858) 888-7700
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Medical College of Wisconsin, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8851 Ctr Dr
Suite 501
La Mesa, CA 91942-3033
Phone (619) 697-2456
Hospital & facility affiliations
- Sharp Memorial Hospital
- Grossmont Hospital
- Sharp Chula Vista Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A195509 | CA | MD | Urology Physician |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Healthcare Partners PC | Urology | Current | Accepting new patients |
| Grossmont Hospital Corporation | Past | Accepting new patients |
Locations
752 Medical Center Ct
Ste 101
Chula Vista, CA 91911
Phone (619) 397-4500
752 Medical Center Ct
Ste 302
Chula Vista, CA 91911
Phone (619) 397-4500
9850 Genesee Ave
Ste 440
La Jolla, CA 92037
Phone (858) 453-5944
8851 Center Dr
Ste 501
La Mesa, CA 91942
Phone (619) 697-2456
3444 Kearny Villa Rd
Ste 202
San Diego, CA 92123
Phone (858) 429-7646
3444 Kearny Villa Rd
Ste 201
San Diego, CA 92123
Phone (858) 430-1101
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- melissa.wong.1@3663.direct.athenahealth.com
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- La Mesa, CA
- NPI 1528041811
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chula Vista, CA
- NPI 1396728630
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1194284166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 845996",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900845996",
"telephone_number": "858-888-7700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8851 CENTER DR STE 501",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423033",
"telephone_number": "619-697-2456",
"fax_number": "858-429-7930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "MELISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-18",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A195509",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "A195509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.