Individual provider Active NPI

Phillip Chung Kit Wong, MD

  • Diagnostic Radiology Physician
  • Menlo Park, CA
National Provider Identifier
1467489674
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A94979 Issued in CA
Practice address
1300 Crane St
Menlo Park, CA 94025-4260
Phone
(650) 498-6500
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A94979 CA Primary

Addresses

Primary practice location

1300 Crane St
Menlo Park, CA 94025-4260

Mailing address

1300 Crane St
Menlo Park, CA 94025-4260
Phone (650) 498-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 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
I20060720000136 CA Practitioner - Diagnostic Radiology 3173553021 Reassigns benefits to 12 organizations
I20260119000522 HI Practitioner - Diagnostic Radiology 3173553021 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York at Stony Brook, School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solano Diagnostics Partners a Calif Limited PartnershipGroup PAC ID 4587556865, 43 clinicians
University Healthcare AllianceGroup PAC ID 6305748799, 334 clinicians
Bay Imaging Consultants Medical Group IncGroup PAC ID 9537069125, 133 clinicians
Magnetic Imaging Affiliates LLCGroup PAC ID 5496066961, 43 clinicians
County of Santa ClaraGroup PAC ID 1254244973, shared by 46 NPIs, 1,000 clinicians

Practice addresses (Care Compare)

101 B Gale Wilson Blvd
Suite 100
Fairfield, CA 94533-3771
Phone (707) 646-4646

1100 B Gale Wilson Blvd
Fairfield, CA 94533-3771
Phone (707) 646-4646

1101 B Gale Wilson Blvd
Suite 100
Fairfield, CA 94533-3771
Phone (707) 646-4646

1300 Crane St
Menlo Park, CA 94025-4260
Phone (650) 498-6500

2450 Ashby Ave
Berkeley, CA 94705-2067
Phone (510) 204-1566

500 Ala Moana Blvd
Suite 7 421
Honolulu, HI 96813-4902
Phone (925) 296-7150

5730 Telegraph Ave
Oakland, CA 94609-1710
Phone (510) 204-2744

6080 Contra Costa Rd
Oakland, CA 94618-2139
Phone (707) 646-4646

751 S Bascom Ave
San Jose, CA 95128-2604
Phone (408) 885-5000

9062 Broadway Ter
Oakland, CA 94611-1952
Phone (707) 646-4646

Hospital & facility affiliations

  • Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043
  • Eden Medical Center Hospital, Castro Valley, CA, CCN 050488
  • Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305
  • Sutter Delta Medical Center Hospital, Antioch, CA, CCN 050523
  • Sutter Solano Medical Center Hospital, Vallejo, CA, CCN 050101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A94979CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Queens North Hawaii Community Hospital CurrentSince Jan 1, 2025 Accepting new patients
County of Santa Clara Current Accepting new patients
John Muir Trauma Physicians Billing Service Diagnostic Radiology CurrentSince Apr 13, 2017 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Jun 1, 1985 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
County of Santa Clara CurrentSince Jul 7, 2022 Accepting new patients
County of Santa Clara CurrentSince Jul 7, 2022 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Jan 8, 2026 Accepting new patients
Epic Care CurrentSince Apr 20, 2020 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology Current Accepting new patients
Queens University Medical Group CurrentSince Jan 1, 2025 Accepting new patients
Michael P Sherman MD PHD, a Medical Corporation CurrentSince Mar 15, 2021 Accepting new patients
Queens North Hawaii Community Hospital Current Accepting new patients
Magnetic Imaging Affiliates, LLC Diagnostic Radiology CurrentSince Jul 17, 2015 Accepting new patients
County of Santa Clara CurrentSince Jul 7, 2022 Accepting new patients
John Muir Magnetic Imaging Center Diagnostic Radiology CurrentSince Jul 1, 2006 Accepting new patients
University Healthcare Alliance CurrentSince Nov 27, 2022 Accepting new patients
County of Santa Clara Current Accepting new patients
Pet-CT Imaging of Berkeley, LLC Diagnostic Radiology CurrentSince Nov 22, 2011 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients
John Muir Call Coverage Medical Group, Inc. Past Accepting new patients
John Muir Health Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Sutter Delta Medical Center Past Accepting new patients

Locations (25 of 39)

2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700

3901 Lone Tree Way
Antioch, CA 94509
Phone (925) 779-7200

2001 Dwight Way
Berkeley, CA 94704
Phone (510) 204-1880

2001 Dwight Way
Ste A
Berkeley, CA 94704
Phone (210) 204-4460

2450 Ashby Ave
Berkeley, CA 94705
Phone (510) 204-1566

2400 Balfour Rd
Brentwood, CA 94513
Phone (925) 308-8100

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

20103 Lake Chabot Rd
Ste 103
Castro Valley, CA 94546
Phone (510) 899-5052

2540 East St
Concord, CA 94520
Phone (925) 674-2228

2410 High School Ave
Concord, CA 94520
Phone (925) 687-5600

2700 Low Ct
Fairfield, CA 94534
Phone (707) 432-2500

1101 B Gale Wilson Blvd
Ste 100
Fairfield, CA 94533
Phone (707) 646-4777

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

1133 E Stanley Blvd
Livermore, CA 94550
Phone (925) 373-4500

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

5730 Telegraph Ave
Oakland, CA 94609
Phone (510) 204-1507

3100 Summit St
Oakland, CA 94609
Phone (510) 869-8377

12 Camino Encinas
Orinda, CA 94563
Phone (510) 204-8180

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

5555 W Las Positas Blvd
Pleasanton, CA 94588
Phone (925) 416-3418

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

Organizations & group practices 27

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.

View all 27

Hospital & facility affiliations 5

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1467489674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CRANE ST",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254260",
            "telephone_number": "650-498-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CRANE ST",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254260",
            "telephone_number": "650-498-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "PHILLIP",
        "middle_name": "CHUNG KIT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A94979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

Verify at the official NPI Registry.