Active NPI
Ritchie Wong, MD, Inc
- Family Medicine Physician
- Carmichael, CA
National Provider Identifier
1245424092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G34923
- Legal business name
- RITCHIE WONG, MD, INC
- Practice address
- 3650 Mission Ave Ste 1
Carmichael, CA 95608-2933 - Phone
- (916) 972-0882
- Fax
- (916) 972-0649
- NPI assigned
- Sep 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jodee Lausmann
- Title
- Office Manager
- Phone
- (916) 972-0882
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G34923 | CA | Primary |
Addresses
Primary practice location
3650 Mission Ave Ste 1
Carmichael, CA 95608-2933
Mailing address
3650 Mission Ave Ste 1
Carmichael, CA 95608-2933
Phone (916) 972-0882
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G34923 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0613409 | Ritchie Wong MD | Provider-performed microscopy | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Carmichael, CA
- NPI 1821054552
-
- Medical Physician Assistant
- Carmichael, CA
- NPI 1174589931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196035200000",
"number": "1245424092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3650 MISSION AVE STE 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 STE 1",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956082933",
"telephone_number": "916-972-0882",
"fax_number": "916-972-0649"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RITCHIE WONG, MD, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-04",
"last_updated": "2007-11-26",
"status": "A",
"authorized_official_last_name": "LAUSMANN",
"authorized_official_first_name": "JODEE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "916-972-0882",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "G34923",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G34923",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.