Connie Lap Ming Wong, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E4422 Issued in CA

Practice address

1703 Termino Ave
Suite #103
Long Beach, CA 90804-2124

Phone

(562) 597-5100

Fax

(562) 597-5165

NPI assigned

Aug 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Connie Wong, DPM and Ki Sang Yi, DPM Inc

  • Foot & Ankle Surgery Podiatrist
  • Long Beach, CA
  • NPI 1346528908
  NPD
• Connie Wong, DPM and Ki Sang Yi, DPM Inc.

  • Foot & Ankle Surgery Podiatrist
  • Long Beach, CA
  • NPI 1487837043
  NPD
• CHLB, LLC

  • General Acute Care Hospital
  • Long Beach, CA
  • NPI 1215373626
  NPD (past)
• Long Beach Memorial Medical

  • Rehabilitation Hospital Unit
  • Long Beach, CA
  • NPI 1396791414
  NPD (past)
• Russell a. Grootegoed DPM

  • Prosthetic/Orthotic Supplier
  • San Pedro, CA
  • NPI 1720261118
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1295746345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 TERMINO AVE",
            "address_2": "SUITE #103",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042124",
            "telephone_number": "562-597-5100",
            "fax_number": "562-597-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 TERMINO AVE",
            "address_2": "SUITE #103",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042124",
            "telephone_number": "562-597-5100",
            "fax_number": "562-597-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "CONNIE",
        "middle_name": "LAP MING",
        "name_prefix": "Ms.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2023-03-07",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E44220",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "E4422",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Wong
• Barbara Janis Wong, LMFT
• Bonnie X Wong, PHARM. D.
• Brittany Wong
• Claudia Wing Huen Wong, PT, DPT
• David Howard Wong, PHARM.D., M.D.
• Gary Wong, MD
• Hollie Y Wong
• Jimmy Wong
• Justin Wyman Wong, O.D.

• Podiatrist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.