Individual provider Active NPI

Samuel Ong, MD

  • Internal Medicine Physician
  • Lakewood, CA
National Provider Identifier
1356373310
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G77749 Issued in CA
Practice address
3700 South St
Lakewood, CA 90712-1419
Phone
(562) 602-6800
NPI assigned
Jul 7, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G77749 CA
Internal Medicine Physician 207R00000X G77749 CA Primary

Addresses

Primary practice location

3700 South St
Lakewood, CA 90712-1419

Mailing address

150 Ocean Park Blvd
#430
Santa Monica, CA 90405-3572
Phone (310) 396-2603

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
I20041204000271 CA Practitioner - Emergency Medicine 8224094958 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.4 of 100Reported as group
Quality
78.12
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77749CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Emergency Medical Associates, Inc Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Orange County Emergency Medical Associates, Inc. Emergency Medicine CurrentSince Oct 1, 2012 Accepting new patients
Comprehensive Foot & Ankle Surgery PLLC PastSince Nov 17, 2008 Accepting new patients
Alan M Heilpern MD Inc Emergency Medicine Past Accepting new patients

Locations

7901 Walker St
La Palma, CA 90623
Phone (562) 424-2900

2776 Pacific Ave
Long Beach, CA 90806
Phone (562) 595-1911

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1356373310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 OCEAN PARK BLVD",
            "address_2": "#430",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053572",
            "telephone_number": "310-396-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 SOUTH ST",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121419",
            "telephone_number": "562-602-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONG",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G77749",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G77749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

Verify at the official NPI Registry.