Active NPI
Edward K Wong Jr., MD
- Ophthalmology Physician
- Laguna Hills, CA
National Provider Identifier
1295829562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 000000G19891
- Practice address
- 22941 Triton Way
127
Laguna Hills, CA 92653-1238 - Phone
- (949) 215-9200
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 000000G19891 | CA | Primary |
Addresses
Primary practice location
22941 Triton Way
127
Laguna Hills, CA 92653-1238
Mailing address
22941 Triton Way
127
Laguna Hills, CA 92653-1238
Phone (949) 215-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000000G19891 | CA | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327881600000",
"number": "1295829562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22941 TRITON WAY",
"address_2": "127",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531238",
"telephone_number": "949-215-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22941 TRITON WAY",
"address_2": "127",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531238",
"telephone_number": "949-215-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "EDWARD",
"middle_name": "K",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2012-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "000000G19891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.