Individual provider Active NPI

John Wong, MD

  • Hematology & Oncology Physician
  • Orange, CA
National Provider Identifier
1336436500
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
122357 Issued in CA
Practice address
1010 W la Veta Ave Ste 670
Orange, CA 92868-4306
Phone
(562) 725-4367
NPI assigned
Jul 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 122357 CA Primary

Addresses

Primary practice location

1010 W la Veta Ave Ste 670
Orange, CA 92868-4306

Mailing address

1010 W la Veta Ave Ste 670
Orange, CA 92868-4306
Phone (562) 725-4367

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160623000260 CA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 0749571677 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cancer and Blood Specialty ClinicGroup PAC ID 9032260146, 17 clinicians

Practice addresses (Care Compare)

1010 W la Veta Ave
Suite 670
Orange, CA 92868-4306
Phone (562) 725-4367

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
122357CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jul 1, 2016 Accepting new patients
Hematology-Oncology Medical Group of Orange County, Inc. Hematology & Oncology CurrentSince Aug 10, 2023 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Cancer and Blood Specialty Clinic Hematology & Oncology CurrentSince May 12, 2024 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jul 1, 2016 Accepting new patients
Providence Medical Foundation CurrentSince Nov 1, 2022 Accepting new patients
Cancer and Blood Specialty Clinic Hematology & Oncology CurrentSince May 12, 2024 Accepting new patients
Providence Medical Foundation CurrentSince Nov 1, 2022 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Loma Linda University Children's Hospital Past Accepting new patients
Faculty Physicians and Surgeons of Llusm Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

9900 Talbert Ave
Ste 103A
Fountain Valley, CA 92708
Phone (562) 725-4367

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

11234 Anderson St
Rm A600
Loma Linda, CA 92350
Phone (909) 558-2262

11234 Anderson St
#A600
Loma Linda, CA 92350
Phone (909) 558-2824

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

3851 Katella Ave
Ste 125
Los Alamitos, CA 90720
Phone (562) 725-4367

3822 Katella Ave
Ste 100
Los Alamitos, CA 90720

3822 Katella Ave
#100
Los Alamitos, CA 90720

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

1010 W La Veta Ave
Ste 670
Orange, CA 92868
Phone (562) 725-4367

1010 W La Veta Ave
Ste 200
Orange, CA 92868
Phone (714) 835-1800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jwong@cblood.curemd.direct-ci.com
  • Direct secure messaging: jwong62366@direct.llu.edu

Organizations & group practices 13

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 13

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1336436500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W LA VETA AVE STE 670",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684306",
            "telephone_number": "562-725-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W LA VETA AVE STE 670",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684306",
            "telephone_number": "562-725-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-07",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "122357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.