Individual provider Active NPI

Vincent K W Wong, MD

  • Diagnostic Radiology Physician
  • Walnut Creek, CA
National Provider Identifier
1366691099
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A119991 Issued in CA
Practice address
2125 Oak Grove Rd
Suite 200
Walnut Creek, CA 94598-2536
Phone
(925) 296-7150
Fax
(925) 296-7171
NPI assigned
Sep 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2011015012 MO
Diagnostic Radiology Physician 2085R0202X A119991 CA Primary

Addresses

Primary practice location

2125 Oak Grove Rd
Suite 200
Walnut Creek, CA 94598-2536

Mailing address

2125 Oak Grove Rd
Suite 200
Walnut Creek, CA 94598-2536
Phone (925) 296-7150

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
I20120803000436 CA Practitioner - Diagnostic Radiology 3971780727 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Washington University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northbay Physicians Surgery Center, LLCGroup PAC ID 0042122244, 336 clinicians
Solano Diagnostics Partners a Calif Limited PartnershipGroup PAC ID 4587556865, 43 clinicians
Bay Imaging Consultants Medical Group IncGroup PAC ID 9537069125, 133 clinicians
County of Santa ClaraGroup PAC ID 1254244973, shared by 46 NPIs, 1,000 clinicians

Practice addresses (Care Compare)

1000 Nut Tree Rd
Vacaville, CA 95687-4100
Phone (707) 624-7000

101 B Gale Wilson Blvd
Suite 100
Fairfield, CA 94533-3771
Phone (707) 646-4646

1020 Nut Tree Rd
Vacaville, CA 95687-4100

1100 B Gale Wilson Blvd
Fairfield, CA 94533-3771
Phone (707) 646-4646

1101 B Gale Wilson Blvd
Suite 100
Fairfield, CA 94533-3771
Phone (707) 646-4646

1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552
Phone (707) 429-3600

1305 Stratford Ave
Dixon, CA 95620-2024
Phone (707) 646-5500

300 Hospital Dr
Vallejo, CA 94589-2574
Phone (707) 554-4107

751 S Bascom Ave
San Jose, CA 95128-2604
Phone (408) 885-5000

Hospital & facility affiliations

  • Sutter Solano Medical Center Hospital, Vallejo, CA, CCN 050101
  • Sutter Delta Medical Center Hospital, Antioch, CA, CCN 050523
  • El Camino Health Hospital, Mountain View, CA, CCN 050308
  • Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038
  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380

Merit-based Incentive Payment System (MIPS)

Final score
61 of 100Reported as group
Quality
59.41
Promoting interoperability
0
Improvement activities
40
Cost
71.45

Merit-based Incentive Payment System (MIPS)

Final score
90.67 of 100Reported as group
Quality
84.1
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A119991CAMDDiagnostic Radiology Physician
2011015012MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Trauma Physicians Billing Service Diagnostic Radiology CurrentSince Apr 4, 2017 Accepting new patients
John Muir Physician Network CurrentSince Dec 8, 2022 Accepting new patients
County of Santa Clara CurrentSince Aug 1, 2024 Accepting new patients
John Muir Magnetic Imaging Center Diagnostic Radiology CurrentSince Jul 1, 2012 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology Current Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
County of Santa Clara CurrentSince Aug 1, 2024 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Jul 1, 2012 Accepting new patients
County of Santa Clara CurrentSince Aug 1, 2024 Accepting new patients
County of Santa Clara Current Accepting new patients
Northbay Healthcare Group CurrentSince Jan 8, 2025 Accepting new patients
County of Santa Clara CurrentSince Aug 1, 2024 Accepting new patients
Magnetic Imaging Affiliates, LLC Diagnostic Radiology CurrentSince Aug 1, 2015 Accepting new patients
Northbay Healthcare Group Current Accepting new patients
County of Santa Clara Current Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Jul 1, 2012 Accepting new patients
Solano Diagnostics Partners, a Calif Limited Partnership Diagnostic Radiology CurrentSince Apr 1, 2018 Accepting new patients
John Muir Health Past Accepting new patients
Golden State Orthopedics & Spine Past Accepting new patients
John Muir Call Coverage Medical Group, Inc. Past Accepting new patients
St. Helena Hospital Past Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
John Muir Health Past Accepting new patients
Solano Diagnostics Partners, a Calif Limited Partnership Diagnostic Radiology Past Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Sutter Delta Medical Center Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations (25 of 48)

2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700

3901 Lone Tree Way
Antioch, CA 94509
Phone (925) 779-7200

2450 Ashby Ave
Berkeley, CA 94705
Phone (510) 204-1566

2001 Dwight Way
Ste A
Berkeley, CA 94704
Phone (210) 204-4460

2001 Dwight Way
Berkeley, CA 94704
Phone (510) 204-1880

2400 Balfour Rd
Ste 100
Brentwood, CA 94513
Phone (925) 308-8122

2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112

2400 Balfour Rd
Brentwood, CA 94513
Phone (925) 308-8100

20103 Lake Chabot Rd
Ste 103
Castro Valley, CA 94546
Phone (510) 899-5052

2540 East St
Concord, CA 94520
Phone (925) 674-2228

2410 High School Ave
Concord, CA 94520
Phone (925) 687-5600

4000 Dublin Blvd
Ste 100
Dublin, CA 94568
Phone (800) 943-8099

1320 Travis Blvd
Ste C
Fairfield, CA 94533
Phone (707) 624-7400

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

1101 B Gale Wilson Blvd
Ste 100
Fairfield, CA 94533
Phone (707) 646-4777

2500 Hilborn Rd
Ste 139
Fairfield, CA 94534

2700 Low Ct
Fairfield, CA 94534
Phone (707) 432-2500

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

1133 E Stanley Blvd
Livermore, CA 94550
Phone (925) 373-4500

5730 Telegraph Ave
Oakland, CA 94609
Phone (510) 204-1507

3100 Summit St
Oakland, CA 94609
Phone (510) 869-8377

140 Brookwood Rd
Ste 100
Orinda, CA 94563
Phone (925) 254-9090

2149 Appian Way
Pinole, CA 94564
Phone (510) 724-5500

5555 W Las Positas Blvd
Pleasanton, CA 94588
Phone (925) 416-3418

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

Interoperability endpoints

  • Direct secure messaging: vwong201140@santaclaravalley.direct-ci.net

Organizations & group practices 29

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 29

Hospital & facility affiliations 7

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": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1366691099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 OAK GROVE RD",
            "address_2": "SUITE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982536",
            "telephone_number": "925-296-7150",
            "fax_number": "925-296-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 OAK GROVE RD",
            "address_2": "SUITE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982536",
            "telephone_number": "925-296-7150",
            "fax_number": "925-296-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "VINCENT",
        "middle_name": "K W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-18",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2011015012",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A119991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.