Individual provider Active NPI

Richard Wong, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Oceanside, CA
National Provider Identifier
1275084295
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A136239 Issued in CA
Practice address
4002 Vista Way
Oceanside, CA 92056
Phone
(760) 634-3230
Fax
(858) 794-4061
NPI assigned
Oct 14, 2016
Last updated
Aug 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A136239 CA Primary

Addresses

Primary practice location

4002 Vista Way
Oceanside, CA 92056

Mailing address

PO Box 2888
Del Mar, CA 92014-5888

Other practice location 1

4002 Vista Way
Oceanside, CA 92056-4506
Phone (760) 634-3230

Other practice location 2

200 W Arbor Dr
MC 1234
San Diego, CA 92103-9000
Phone (858) 534-0455

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
I20190723000545 CA Practitioner - PathologyPractitioner - Hematology 9830425396 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PathologyAlso: Hematology
Education
Tufts University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 W Arbor Dr
San Diego, CA 92103-1920
Phone (858) 249-6753

9300 Campus Point Dr
La Jolla, CA 92037-1300
Phone (858) 249-6753

9350 Campus Point Dr
La Jolla, CA 92037-1300
Phone (858) 249-6753

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as group
Quality
84.13
Promoting interoperability
100
Improvement activities
40
Cost
73.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A136239CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Pathology Medical Group Inc Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2019 Accepting new patients
Regents of the University of California CurrentSince Jul 29, 2019 Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California Anatomic Pathology & Clinical Pathology CurrentSince Jul 29, 2019 Accepting new patients
Regents of the University of California Past Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients

Locations

9444 Medical Center Dr
La Jolla, CA 92037
Phone (858) 249-1206

4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411

10300 Campus Point Dr
Ste 150
San Diego, CA 92121
Phone (858) 657-1179

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5720

200 W Arbor Dr
#1234
San Diego, CA 92103
Phone (619) 543-5493

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1275084295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2888",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920145888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 VISTA WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92056",
            "telephone_number": "760-634-3230",
            "fax_number": "858-794-4061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4002 Vista Way",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920564506",
            "country_code": "US",
            "telephone_number": "760-634-3230",
            "fax_number": "858-794-4061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 W Arbor Dr",
            "address_2": "MC 1234",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921039000",
            "country_code": "US",
            "telephone_number": "858-534-0455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-14",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A136239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.