Active NPI
Vincent Jih Chong Wong
- Urology Physician
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- A195162
- Practice address
- 489 E 21St St
San Bernardino, CA 92404-4816 - Phone
- (190) 988-2297
- NPI assigned
- Dec 16, 2015
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | A195162 | CA | Primary |
Addresses
Primary practice location
489 E 21St St
San Bernardino, CA 92404-4816
Mailing address
489 E 21St St
San Bernardino, CA 92404-4816
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Northwestern University Feinberg Medical School, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
489 E 21St St
San Bernardino, CA 92404-4816
Phone (909) 882-2973
Hospital & facility affiliations
- Desert Regional Medical Center
- St Bernardine Medical Center
- Pioneers Memorial Healthcare District
- John F Kennedy Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franklin M Chu MD Inc | Single Specialty | Current | Accepting new patients |
| Dignity Health Medical Foundation | Single Specialty | Past | Accepting new patients |
Locations
489 E 21st St
Sn Bernrdno, CA 92404
Phone (909) 882-2973
Interoperability endpoints
- vincentwong@sburo.allscriptsdirect.net
Organizations & group practices 2
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.
-
dba San Bernardino Urological Associates
- Specialist
- San Bernardino, CA
- NPI 1467513739
Single Specialty
-
dba Dignity Health Medical Group - Inland Empire, a service of Dignity Hea
- Multi-Specialty Clinic/Center
- Highland, CA
- NPI 1053653873
Single Specialty
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Desert Regional Medical Center
- General Acute Care Hospital
- Palm Springs, CA
- NPI 1104856095
-
dba St. Bernardine Medical Center
- General Acute Care Hospital
- San Bernardino, CA
- NPI 1689769911
-
dba Pioneers Memorial Hospital
- General Acute Care Hospital
- Brawley, CA
- NPI 1184429185
-
dba John F. Kennedy Memorial Hospital
- General Acute Care Hospital
- Indio, CA
- NPI 1477584993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1316302441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "489 E 21ST ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924044816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "489 E 21ST ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924044816",
"telephone_number": "190-988-2297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "VINCENT",
"middle_name": "JIH CHONG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-16",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "CA",
"license": "A195162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.