NPIMap

Individual provider Active NPI

David Wong, M.D.

  • Internal Medicine Physician
  • San Jose, CA
National Provider Identifier
1255435483
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A71313 Issued in CA
Practice address
625 Lincoln Ave
San Jose, CA 95126-3785
Phone
(408) 871-3400
NPI assigned
Sep 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A71313 CA Primary

Addresses

Primary practice location

625 Lincoln Ave
San Jose, CA 95126-3785

Mailing address

625 Lincoln Ave
San Jose, CA 95126-3785
Phone (408) 871-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040121001139 CA Practitioner - Internal Medicine 2567364532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Tufts University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
El Camino Health Medical Network LLCGroup PAC ID 6103115183, 202 clinicians

Practice addresses (Care Compare)

625 Lincoln Ave
San Jose, CA 95126-3785
Phone (408) 871-3400

Hospital & facility affiliations

  • Sequoia Home Health Home health agency, Milpitas, CA, CCN 058496
  • Ace Home Health Care & Hospice, Inc Home health agency, Orinda, CA, CCN 059461
  • Care Must Home health agency, San Jose, CA, CCN 059796
  • El Camino Health Hospital, Mountain View, CA, CCN 050308

Merit-based Incentive Payment System (MIPS)

Final score
89.25 of 100Reported as subgroup
Quality
87.84
Promoting interoperability
100
Improvement activities
40
Cost
76.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A71313CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DCHS Medical Foundation Internal Medicine CurrentSince Apr 1, 2012 Accepting new patients
El Camino Health Medical Network, LLC CurrentSince Apr 1, 2019 Accepting new patients
Verity Medical Foundation CurrentSince Apr 1, 2012 Accepting new patients
El Camino Hospital Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
El Camino Health Medical Group Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients

Locations

9360 No Name Uno
Ste 125
Gilroy, CA 95020
Phone (408) 846-9444

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

25455 Medical Center Dr
Ste 200
Murrieta, CA 92562
Phone (951) 894-7056

9360 N Name Uno
San Francisco, CA 94139
Phone (408) 278-3003

625 Lincoln Ave
San Jose, CA 95126
Phone (408) 278-3003

400 Race St
San Jose, CA 95126

Interoperability endpoints

  • Direct secure messaging: dwong49351@icare.elcaminohospital.org

Organizations & group practices 8

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1255435483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 LINCOLN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263785",
            "telephone_number": "408-871-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 LINCOLN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263785",
            "telephone_number": "408-871-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A71313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.