Jair Wong, MD, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G75543 Issued in CA

Legal business name

JAIR WONG, MD, INC

Practice address

1535 W Merced Ave
Suite #102
West Covina, CA 91790

Phone

(626) 962-9108

Fax

(626) 960-7337

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Jair Wong, MDNPI 1972541266

Title

President

Phone

(626) 962-9108

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jair Wong, MD

  • Internal Medicine Physician
  • West Covina, CA
  • NPI 1972541266
  Medicare reassignment Authorized official
• Bimlesh Garg, MD

  • Psychiatry Physician
  • West Covina, CA
  • NPI 1164489159
  NPD (past)

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1396771960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 W MERCED AVE",
            "address_2": "SUITE #102",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91790",
            "telephone_number": "626-962-9108",
            "fax_number": "626-960-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 W MERCED AVE",
            "address_2": "SUITE #102",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91790",
            "telephone_number": "626-962-9108",
            "fax_number": "626-960-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIR WONG, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "JAIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-962-9108",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G75543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "WG75543F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aliah Jafaklou
• Mahindokht Jafari, D.O.
• Joseph Jaime, DC, ATC
• Lesli Jaimes
• Rushina Jain, D.M.D.
• Prashant Jaiswal
• Mellissa Jakel
• James Cheung & Jana Chen Ods a Professional Corporation (Fashion Eyes Optometry)
• James K. Yeo, M.D., Inc.
• James S. Yeh, M.D., Inc.

• Internal Medicine Physician in West Covina, CA
• Providers in West Covina, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.