Antonio Kayaban Ong, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A36630 Issued in CA

Practice address

3505 Hart Ave
Suite 202
Rosemead, CA 91770-2061

Phone

(626) 573-1160

Fax

(626) 573-1162

NPI assigned

Jun 18, 2005

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1119052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1336144088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 HART AVE",
            "address_2": "SUITE 202",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702061",
            "telephone_number": "626-573-1160",
            "fax_number": "626-573-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 HART AVE",
            "address_2": "SUITE 202",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702061",
            "telephone_number": "626-573-1160",
            "fax_number": "626-573-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONG",
        "first_name": "ANTONIO",
        "middle_name": "KAYABAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-18",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A36630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE",
            "identifier": "A36630",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A366300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robyn Yoneda Ogawa, OTR/L
• Ivy Ojeniyi
• Leana Olague
• Omega Pharma Inc
• Omni Healthcare Solutions Inc
• Diana Ly Ong
• Ricky Ong
• Scott Ong
• Georgina Cardoso Ono
• John Orial

• Surgery Physician in Rosemead, CA
• Providers in Rosemead, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.