Organization Active NPI

Ritchie Wong, MD, Inc

  • Family Medicine Physician
  • Carmichael, CA
National Provider Identifier
1245424092
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G34923 Issued in CA
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

Updated by the provider on Nov 26, 2007

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
G34923MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140605001547 CA Part B Supplier - Clinic/Group Practice 8022232404 Receives reassigned benefits from 2 practitioners
Practice locations: Carmichael, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0613409Ritchie Wong MD3650 Mission Avenue, Carmichael, CA 95608Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.