Individual provider Active NPI

Felix Shall-Gin Wong, MD

  • Diagnostic Radiology Physician
  • San Diego, CA
National Provider Identifier
1295178069
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A132884 Issued in CA
Practice address
150 W Washington St
San Diego, CA 92103-2005
Phone
(619) 295-9729
NPI assigned
Apr 11, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X A132884 CA Primary

Addresses

Primary practice location

150 W Washington St
San Diego, CA 92103-2005

Mailing address

4860 Y St Ste 3100
Sacramento, CA 95817-2307
Phone (916) 703-2273

Other practice location 1

11234 Anderson St
Loma Linda, CA 92354-2804
Phone (909) 558-4074

Other practice location 2

4860 Y St Ste 3100
Sacramento, CA 95817
Phone (916) 703-2273

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address imaging_healthcare_specialists@direct.sdhealthconnect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180615001767 CA Practitioner - Diagnostic Radiology 0547515587 Reassigns benefits to 6 organizations
I20251230003541 GA Practitioner - Diagnostic Radiology 0547515587 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Community Imaging LLCGroup PAC ID 6406346527, 33 clinicians
IHS Radiology Medical Group IncGroup PAC ID 1052622024, 65 clinicians

Practice addresses (Care Compare)

2040 10TH Ave
Columbus, GA 31901-1461
Phone (706) 322-3000

9858 Via Caceres
San Diego, CA 92129-2717
Phone (858) 658-6500

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A132884CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Multi-Specialty CurrentSince Aug 22, 2018 Accepting new patients
County of Sacramento Multi-Specialty CurrentSince Dec 23, 2019 Accepting new patients
Synergy Orthopedic Specialists, Inc. Multi-Specialty CurrentSince Feb 1, 2022 Accepting new patients
IHS Radiology Medical Group, Inc. Multi-Specialty CurrentSince Oct 1, 2020 Accepting new patients
Synergy Orthopedic Specialists, Inc. Multi-Specialty CurrentSince Feb 1, 2022 Accepting new patients
Radiology Associates of Atlanta, PA Multi-Specialty CurrentSince Dec 17, 2025 Accepting new patients
Regents of the Univ of Ca Multi-Specialty Current Accepting new patients
Regents of the University of Ca Multi-Specialty CurrentSince Aug 22, 2018 Accepting new patients
County of Sacramento CurrentSince Dec 23, 2019 Accepting new patients
Pacific Radiology Group Inc Multi-Specialty CurrentSince Jan 1, 2026 Accepting new patients
Regents of the Univ of Ca Multi-Specialty Past Accepting new patients
Regents of the Univ of Ca Multi-Specialty Past Accepting new patients
Physicians Radiology Medical Group, Inc. Multi-Specialty Past Accepting new patients

Locations (25 of 27)

333 H St
Ste 1095
Chula Vista, CA 91910
Phone (619) 409-9119

88 E Bonita Rd
Ste C
Chula Vista, CA 91910
Phone (619) 230-0855

477 N El Camino Real
Ste A102
Encinitas, CA 92024
Phone (760) 452-7150

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

4150 Regents Park Row
Ste 195
La Jolla, CA 92037
Phone (858) 622-6464

3850 G St
Merced, CA 95340
Phone (209) 384-6528

2427 Transportation Ave
National City, CA 91950

3601 Vista Way
Ste 101
Oceanside, CA 92056
Phone (760) 631-7505

3909 Waring Rd
Ste B
Oceanside, CA 92056
Phone (760) 631-3500

1801 W Olympic Blvd
#1313
Pasadena, CA 91199

12620 Monte Vista Rd
Ste A
Poway, CA 92064
Phone (858) 487-9729

4600 Broadway
Sacramento, CA 95820
Phone (916) 874-9670

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

4860 Y St
Ste 500
Sacramento, CA 95817
Phone (916) 734-3171

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

4860 Y St
Ste 3100
Sacramento, CA 95817
Phone (916) 703-2273

4600 Broadway
#1100
Sacramento, CA 95820
Phone (916) 874-9670

3939 Ruffin Rd
Ste 102
San Diego, CA 92123
Phone (858) 200-3300

150 W Washington St
San Diego, CA 92103
Phone (619) 295-9729

6386 Alvarado Ct
Ste 121
San Diego, CA 92120
Phone (619) 229-2299

9095 Rio San Diego Dr
Ste 150
San Diego, CA 92108
Phone (858) 200-3300

1809 National Ave
Ste 2104
San Diego, CA 92113

4445 Eastgate Mall
Ste 103
San Diego, CA 92121
Phone (858) 450-7118

41715 Winchester Rd
Ste 101
Temecula, CA 92590
Phone (858) 616-6400

1000 Vale Terrace Dr
Vista, CA 92084
Phone (760) 407-1220

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1295178069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 Y ST STE 3100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-703-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W WASHINGTON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032005",
            "telephone_number": "619-295-9729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11234 Anderson St",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923542804",
            "country_code": "US",
            "telephone_number": "909-558-4074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4860 Y St Ste 3100",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "95817",
            "country_code": "US",
            "telephone_number": "916-703-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "FELIX",
        "middle_name": "SHALL-GIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-11",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A132884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "imaging_healthcare_specialists@direct.sdhealthconnect.org",
            "affiliation": "N",
            "address_1": "150 W Washington St",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921032005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.