Adam Ken Yip Wong, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A95311 Issued in CA

Practice address

9920 Talbert Ave
Fountain Valley, CA 92708-5153

Phone

(714) 378-7000

Fax

(714) 647-1245

NPI assigned

Dec 5, 2006

Last updated

Aug 17, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Anesthesiology

Education

Boston University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Torrance Surgical Alliance IncGroup PAC ID 7214334697, 7 clinicians

Talbert Anesthesia Group IncorporatedGroup PAC ID 6406171461, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Talbert Anesthesia Group Incorporated

  • Anesthesiology Physician
  • Los Alamitos, CA
  • NPI 1144626714
  Medicare reassignment Care Compare group NPD
• Torrance Surgical Alliance, Inc

  • Surgery Physician
  • Torrance, CA
  • NPI 1174060768
  Medicare reassignment Care Compare group NPD
• Allied Anesthesia Medical Group Inc

  • Anesthesiology Physician
  • Orange, CA
  • NPI 1346267267
  Medicare reassignment NPD
• Premiercare Anesthesia Fountain Valley Inc

  • Anesthesiology Physician
  • Fountain Valley, CA
  • NPI 1831536531
  Medicare reassignment NPD
• Scosi Orthopedics Inc

  • Orthopaedic Surgery Physician
  • City of Industry, CA
  • NPI 1104182104
  Medicare reassignment NPD
• Veritas Anesthesia, Inc.

  • Anesthesiology Physician
  • Fullerton, CA
  • NPI 1588142392
  Medicare reassignment NPD
• Pacific Valley Medical Group

  • Anesthesiology Physician
  • Pasadena, CA
  • NPI 1851312862
  Medicare reassignment
• Adam Wong MD Inc

  • Anesthesiology Physician
  • Fountain Valley, CA
  • NPI 1437397122
  Authorized official Same address or phone
• Ahmc Monterey Park Hospital LP

  dba Monterey Park Hospital

  • General Acute Care Hospital
  • Monterey Park, CA
  • NPI 1780676221
  NPD (past)
• Orange Coast Memorial Medical Center

  • General Acute Care Hospital
  • Fountain Valley, CA
  • NPI 1497702575
  NPD (past)
• Valley Presbyterian Hospital

  • General Acute Care Hospital
  • Van Nuys, CA
  • NPI 1578529285
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1457419046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053807",
            "telephone_number": "714-347-1010",
            "fax_number": "714-647-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 TALBERT AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085153",
            "telephone_number": "714-378-7000",
            "fax_number": "714-647-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ADAM",
        "middle_name": "KEN YIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A95311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265587000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin N Winn
• Justin Winters, BT
• Kristen Witte, CMT
• Wendell C Witte, M.D.
• Womens Medical Corporation of Huntington Beach Apc
• Arlet Wong
• Ashley Wong, DO
• Janice Anh Wong, PHAM.D.
• Jeffrey Wong, M.D.
• Jennifer L Wong, M.D.

• Anesthesiology Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.