Individual provider Active NPI

Judith Ming-Hai Wong, M.D., M.P.H.

  • Neurological Surgery Physician
  • Flagstaff, AZ
National Provider Identifier
1457500738
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A130110 Issued in CA
Practice address
1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone
(928) 213-6235
NPI assigned
Sep 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X A130110 CA Primary

Addresses

Primary practice location

1200 N Beaver St
Flagstaff, AZ 86001-3118

Mailing address

2888 Long Beach Blvd Ste 240
Long Beach, CA 90806-1570
Phone (562) 595-7696

Other practice location 1

2888 Long Beach Blvd Ste 240
Long Beach, CA 90806-1570
Phone (562) 595-7696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, AZ2 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

Enrollment IDStateProvider typePAC IDDetails
I20220916001169 NE Practitioner - Neurosurgery 4880832468 Reassigns benefits to 1 organization
I20240216004109 AZ Practitioner - Pediatric MedicinePractitioner - Neurosurgery 4880832468 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Neurosurgery
Education
University of California, San Francisco School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Arizona Healthcare CorporationGroup PAC ID 3577473362, 391 clinicians

Practice addresses (Care Compare)

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 779-3366

1215 N Beaver St
Suite 203
Flagstaff, AZ 86001-3126
Phone (928) 773-2249

Hospital & facility affiliations

  • Flagstaff Medical Center Hospital, Flagstaff, AZ, CCN 030023
  • Verde Valley Medical Center Hospital, Cottonwood, AZ, CCN 030007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
130110CAMDMarriage & Family Therapist
A130110CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Super Specialists Arizona LLC CurrentSince Mar 1, 2024 Accepting new patients
Banner Physician Super Specialists Arizona LLC Current Accepting new patients
Northern Arizona Healthcare Corporation Family Medicine Current Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Jan 21, 2026 Accepting new patients
Banner Physician Super Specialists Arizona LLC CurrentSince Mar 1, 2024 Accepting new patients
Unmc Physicians CurrentSince Jul 29, 2022 Accepting new patients

Locations

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

1432 S Dobson Rd
Ste 403
Mesa, AZ 85202
Phone (480) 412-7473

1432 S Dobson Rd
Ste 301
Mesa, AZ 85202
Phone (480) 412-7120

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600

Interoperability endpoints

  • Direct secure messaging: jwong406638@direct.nebraskamed.com

Organizations & group practices 6

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 6

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": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1457500738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2888 LONG BEACH BLVD STE 240",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061570",
            "telephone_number": "562-595-7696",
            "fax_number": "562-490-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N BEAVER ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013118",
            "telephone_number": "928-213-6235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2888 Long Beach Blvd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908061570",
            "country_code": "US",
            "telephone_number": "562-595-7696",
            "fax_number": "562-490-3846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "JUDITH",
        "middle_name": "MING-HAI",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A130110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.