Thai On Wong, D.O.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

20A15557 Issued in CA

Practice address

1045 Atlantic Ave Ste 712
Long Beach, CA 90813-3411

Phone

(562) 491-4879

Fax

(562) 491-7987

NPI assigned

May 17, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, PA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thai.wong@hca3.eclinicaldirectplus.com

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.

• Inpatient Specialists of California, PC

  • Internal Medicine Physician
  • San Bernardino, CA
  • NPI 1952792475
  Medicare reassignment NPD
• Signify Health Medical Associates of California, PC

  • General Practice Physician
  • San Francisco, CA
  • NPI 1124685169
  Medicare reassignment NPD
• Family Care Centers Inc.

  • Internal Medicine Physician
  • E Stroudsburg, PA
  • NPI 1669563037

  Surgery

  Medicare reassignment NPD
• Prospect Health Access Network, Inc.

  • Emergency Medicine Physician
  • Chester, PA
  • NPI 1568819084
  Medicare reassignment NPD
• Family Care Centers Inc

  • Family Medicine Physician
  • East Stroudsburg, PA
  • NPI 1316409626
  NPD
• Prospect Health Access Network, Inc.

  • Diagnostic Radiology Physician
  • Chester, PA
  • NPI 1154776797
  NPD
• Prospect Health Access Network, Inc.

  • Reproductive Endocrinology Physician
  • Chester, PA
  • NPI 1730536251
  NPD

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1427318955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE",
            "address_2": "SUITE 712",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133411",
            "telephone_number": "562-491-4879",
            "fax_number": "562-491-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE STE 712",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133411",
            "telephone_number": "562-491-4879",
            "fax_number": "562-491-7987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6117 Cloverdale Blvd",
            "address_purpose": "LOCATION",
            "city": "Oakland Gardens",
            "state": "NY",
            "postal_code": "113642431",
            "country_code": "US",
            "telephone_number": "718-224-0210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "THAI",
        "middle_name": "ON",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "20A15557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lowry Yeh Wong, DDS
• Michael Wong, MD
• Shinn Wong, PHARM.D.
• Sum Yin Ruth Wong
• Taryn Wong
• Vanessa Wong, LCSW
• Belen Anzaldo Wongk, PMHNP-BC
• Woo-Ming Medical Group, PC
• Candace Ying Woo, MSPT
• Gyunghwi Woo, DO

• Surgery Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.