Active NPI
Kai Y Wong, M.D.
- Family Medicine Physician
- Arcadia, CA
National Provider Identifier
1376656967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A53447
- Practice address
- 624 W Duarte Rd
Ste 104
Arcadia, CA 91007-9253 - Phone
- (626) 898-4801
- Fax
- (626) 898-4802
- NPI assigned
- Aug 16, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A53447 | CA | Primary |
Addresses
Primary practice location
624 W Duarte Rd
Ste 104
Arcadia, CA 91007-9253
Mailing address
624 W Duarte Rd
Ste 104
Arcadia, CA 91007-9253
Phone (626) 898-4801
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A534471 | Medicaid | CA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070201000208 | CA | Practitioner - General Practice | 3274535422 | Practice locations: Arcadia, CA; Monterey Park, CA |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
624 W Duarte Rd
Suite 104
Arcadia, CA 91007-9253
Phone (626) 898-4801
Hospital & facility affiliations
- Allegiance Home Health, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A53447 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahmc Garfield Medical Center LP | Past | Accepting new patients | |
| Alhambra Hospital Medical Center, LP | Past | Accepting new patients | |
| Chua Chuang Inc. a Medical | Past | Accepting new patients | |
| Kelly Wong DO Inc | Past | Accepting new patients | |
| Dr. Tin S Wong DO Medical Corporation | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Monterey Park, CA
- NPI 1730171265
-
- General Acute Care Hospital
- Alhambra, CA
- NPI 1811099674
-
- Internal Medicine Physician
- Montebello, CA
- NPI 1861530511
-
- Health Service Clinic/Center
- Los Angeles, CA
- NPI 1811449598
-
- Primary Care Clinic/Center
- Monterey Park, CA
- NPI 1427361617
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Alhambra, CA
- NPI 1922022532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609545600000",
"number": "1376656967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 W DUARTE RD",
"address_2": "STE 104",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910079253",
"telephone_number": "626-898-4801",
"fax_number": "626-898-4802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 W DUARTE RD",
"address_2": "STE 104",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910079253",
"telephone_number": "626-898-4801",
"fax_number": "626-898-4802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "KAI",
"middle_name": "Y",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2021-01-02",
"certification_date": "2021-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A53447",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A534471",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2021; 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.