Individual provider Active NPI

Steven Gene Wei Wong, MD

  • Hematology & Oncology Physician
  • Santa Monica, CA
National Provider Identifier
1275553307
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G79910 Issued in CA
Practice address
2811 Wilshire Blvd Ste 414
Santa Monica, CA 90403-4804
Phone
(310) 552-9999
Fax
(310) 201-6685
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 210540 AK
Hematology & Oncology Physician 207RH0003X MD23655 ME
Hematology & Oncology Physician 207RH0003X G79910 CA Primary

Addresses

Primary practice location

2811 Wilshire Blvd Ste 414
Santa Monica, CA 90403-4804

Mailing address

10921 Wilshire Blvd
Suite 505
Los Angeles, CA 90024-4001
Phone (310) 824-4133

Other practice location 1

93 Campus Ave
Lewiston, ME 04240-6030
Phone (207) 777-4420

Other practice location 2

1250 Idaho St
Lewiston, ID 83501-1965
Phone (208) 743-7427

Other practice location 3

3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (907) 228-8510

Other identifiers 2

IdentifierTypeStateIssuer
00G799100MedicaidCA
210540OtherAKLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, ME, MO, TX, AK5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20120320000276 CA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 6901066554 Reassigns benefits to 2 organizations
I20200708001812 ME Practitioner - Hematology/Oncology 6901066554 Reassigns benefits to 2 organizations
I20220715002297 MO Practitioner - Medical Oncology 6901066554 Reassigns benefits to 1 organization
I20220804003131 TX Practitioner - Hematology/Oncology 6901066554 Reassigns benefits to 1 organization
I20230613002881 AK Practitioner - Medical Oncology 6901066554 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
University of California, Geffen School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sant P Chawla M D IncGroup PAC ID 4880722487, 5 clinicians
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

Practice addresses (Care Compare)

2811 Wilshire Blvd
Suite 414
Santa Monica, CA 90403-4804
Phone (310) 552-9999

4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-3100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as group
Quality
64.8
Promoting interoperability
96
Improvement activities
40
Cost
68.87

Merit-based Incentive Payment System (MIPS)

Final score
75.44 of 100Reported as group
Quality
62.56
Promoting interoperability
81
Improvement activities
40
Cost
67.88

Merit-based Incentive Payment System (MIPS)

Final score
70.59 of 100Reported as group
Quality
83.37
Promoting interoperability
100
Improvement activities
40
Cost
16.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD23655MEMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince May 2, 2025 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Jul 22, 2022 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Jun 15, 2020 Accepting new patients
Uptimum Medical Group and Ipa Inc CurrentSince Oct 1, 2019 Accepting new patients
Peacehealth Current Accepting new patients
Eastern Maine Medical Center CurrentSince Feb 11, 2024 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Jun 15, 2020 Accepting new patients
Eastern Maine Medical Center CurrentSince Feb 11, 2024 Accepting new patients
Sant P Chawla M D Inc Hematology & Oncology Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

3900 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1500

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104

2220 W Manchester Blvd
Inglewood, CA 90305
Phone (310) 644-8400

4253 Redondo Beach Blvd
Lawndale, CA 90260
Phone (310) 370-5888

489 State St
Bangor, ME 04401
Phone (207) 973-8837

93 Campus Ave
#I2
Lewiston, ME 04240
Phone (207) 777-4420

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: swong864481@direct.memorialcare.org
  • Direct secure messaging: swong53313@direct.uclahealth.org
  • Direct secure messaging: swong77011@direct.kdhealth.us
  • Direct secure messaging: swong685877@direct.peacehealth.org
  • Direct secure messaging: steven.wong@umg.direct-geniusdoc.com

Organizations & group practices 11

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 5

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1275553307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10921 WILSHIRE BLVD",
            "address_2": "SUITE 505",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244001",
            "telephone_number": "310-824-4133",
            "fax_number": "310-208-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 WILSHIRE BLVD STE 414",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034804",
            "telephone_number": "310-552-9999",
            "fax_number": "310-201-6685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "93 Campus Ave",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042406030",
            "country_code": "US",
            "telephone_number": "207-777-4420",
            "fax_number": "207-777-4430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 Idaho St",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ID",
            "postal_code": "835011965",
            "country_code": "US",
            "telephone_number": "208-743-7427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Tongass Ave",
            "address_purpose": "LOCATION",
            "city": "Ketchikan",
            "state": "AK",
            "postal_code": "999015746",
            "country_code": "US",
            "telephone_number": "907-228-8510",
            "fax_number": "907-228-8510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "STEVEN",
        "middle_name": "GENE WEI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AK",
            "license": "210540",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "ME",
            "license": "MD23655",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G79910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G799100",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "210540",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.