Individual provider Active NPI

Jared Sze Wei Wong, M.D.

  • Surgery Physician
  • Montclair, CA
National Provider Identifier
1447586904
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A137345 Issued in CA
Practice address
4950 San Bernardino St Ste 202
Montclair, CA 91763-2328
Phone
(909) 621-7647
Fax
(877) 887-5774
NPI assigned
Oct 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A137345 CA Primary

Addresses

Primary practice location

4950 San Bernardino St Ste 202
Montclair, CA 91763-2328

Mailing address

4950 San Bernardino St Ste 202
Montclair, CA 91763-2328
Phone (909) 621-7647

Other practice location 1

315 N 3rd Ave Ste 206
Covina, CA 91723-1917
Phone (626) 593-0695

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
I20150917003077 CA Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 8022325364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology)
Education
Loma Linda University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anthony S. Oh, M.D., a Medical CorporationGroup PAC ID 4981796620, 2 clinicians

Practice addresses (Care Compare)

4950 San Bernardino St
Suite 202
Montclair, CA 91763-2328
Phone (909) 621-7647

Hospital & facility affiliations

  • Emanate Health Inter-Community Hospital Hospital, Covina, CA, CCN 050382
  • San Dimas Community Hospital Hospital, San Dimas, CA, CCN 050588
  • Chino Valley Medical Center Hospital, Chino, CA, CCN 050586
  • Montclair Hospital Medical Center Hospital, Montclair, CA, CCN 050758
  • Sierra View Medical Center Hospital, Porterville, CA, CCN 050261

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy16
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Anthony S. Oh, M.D., a Medical Corporation Surgery CurrentSince Oct 21, 2019 Accepting new patients

Locations

315 N 3rd Ave
Ste 102
Covina, CA 91723
Phone (626) 261-4048

315 N 3rd Ave
Ste 206
Covina, CA 91723
Phone (626) 593-0695

250 S Grand Ave
Glendora, CA 91741
Phone (626) 857-3118

4950 San Bernardino St
Ste 200
Montclair, CA 91763
Phone (909) 621-7647

4950 San Bernardino St
Ste 202
Montclair, CA 91763
Phone (909) 447-5554

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: casacolina@direct.casacolina.org

Organizations & group practices 2

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.

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": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1447586904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 SAN BERNARDINO ST STE 202",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632328",
            "telephone_number": "909-621-7647",
            "fax_number": "877-887-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 SAN BERNARDINO ST STE 202",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632328",
            "telephone_number": "909-621-7647",
            "fax_number": "877-887-5774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 N 3rd Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "917231917",
            "country_code": "US",
            "telephone_number": "626-593-0695",
            "fax_number": "877-887-5774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "JARED",
        "middle_name": "SZE WEI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-19",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A137345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

Verify at the official NPI Registry.