Anita Wong, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A139775 Issued in CA

Practice address

1920 Colorado Ave
2ND Floor
Santa Monica, CA 90404-3414

Phone

(310) 319-4700

NPI assigned

Apr 1, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

University of California, Geffen School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

UC RegentsGroup PAC ID 9739083866, 36 clinicians

County of Los AngelesGroup PAC ID 1850296534, 395 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Calimed Health Care Inc Home health agency, Glendale, CA, CCN 559674
• Santa Monica - UCLA Med Ctr & Orthopaedic Hospital Hospital, Santa Monica, CA, CCN 050112
• Lac/Olive View-UCLA Medical Center Hospital, Sylmar, CA, CCN 050040

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: awong21948@direct.uclahealth.org

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.

• County of Los Angeles

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1851363188
  Medicare reassignment Care Compare group NPD
• UC Regents

  • Family Medicine Physician
  • Santa Monica, CA
  • NPI 1275591802
  Medicare reassignment Care Compare group NPD
• County of Los Angeles

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1295407401
  NPD
• County of Los Angeles

  • Clinic/Center
  • Palmdale, CA
  • NPI 1720090616
  NPD
• UCLA Family Medicine Residency Program

  • Primary Care Clinic/Center
  • Santa Monica, CA
  • NPI 1164808986
  NPD (past)
• UCLA Family Practice

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1477511046
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Calimed Health Care Inc

  • Home Health Agency
  • Upland, CA
  • NPI 1285132761
  Care Compare affiliation
• County of Los Angeles

  • General Acute Care Hospital
  • Sylmar, CA
  • NPI 1134143415
  Care Compare affiliation
• Regents of the Univ of California

  • General Acute Care Hospital
  • Santa Monica, CA
  • NPI 1427055839
  Care Compare affiliation

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1437577046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 COLORADO AVE",
            "address_2": "2ND FLOOR",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043414",
            "telephone_number": "310-319-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ANITA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A139775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Women'S Healthcare Associates of Santa Monica, a Medical Corporation
• Womens Medical Group of Santa Monica
• Wonderful Home Health,Inc
• Alice Wong, DO
• Andrew K Wong, M.D.
• Claudia L Wong, NP
• Cynthia Wong, PSY.D.
• Genevieve Wong, WHNP-BC
• Harry P Wong, PHARM. D
• Jason Wong, DPT

• Family Medicine Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.

Verify at the official NPI Registry.