Active NPI
Phillip Chung Kit Wong, MD
- Diagnostic Radiology Physician
- Menlo Park, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A94979
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
- County of Santa Clara
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
- Eden Medical Center
- Alta Bates Summit Medical Center - Alta Bates Camp
- Sutter Delta Medical Center
- Sutter Solano Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A94979 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Queens North Hawaii Community Hospital | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| John Muir Trauma Physicians Billing Service | Diagnostic Radiology | Current | Accepting new patients |
| Bay Imaging Consultants Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| John Muir Trauma Physicians Billing Service | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Bay Imaging Consultants Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Epic Care | Current | Accepting new patients | |
| Bay Imaging Consultants Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Queens University Medical Group | Current | Accepting new patients | |
| Michael P Sherman MD PHD, a Medical Corporation | Current | Accepting new patients | |
| Queens North Hawaii Community Hospital | Current | Accepting new patients | |
| Magnetic Imaging Affiliates, LLC | Diagnostic Radiology | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| John Muir Magnetic Imaging Center | Diagnostic Radiology | Current | Accepting new patients |
| University Healthcare Alliance | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Pet-CT Imaging of Berkeley, LLC | Diagnostic Radiology | Current | 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.
-
- Diagnostic Radiology Physician
- Walnut Creek, CA
- NPI 1356597637
-
- Internal Medicine Physician
- Newark, CA
- NPI 1760531198
-
- Diagnostic Radiology Physician
- Fairfield, CA
- NPI 1811940661
-
- Anesthesiology Physician
- San Jose, CA
- NPI 1588721500
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Multi-Specialty Clinic/Center
- Antioch, CA
- NPI 1780107797
-
- Hospitalist Physician
- Walnut Creek, CA
- NPI 1093864837
-
- Hematology & Oncology Physician
- Walnut Creek, CA
- NPI 1831201912
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Castro Valley, CA
- NPI 1063812907
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1295181477
-
- General Acute Care Hospital
- Antioch, CA
- NPI 1467808659
-
- General Acute Care Hospital
- Berkeley, CA
- NPI 1639523004
-
- General Acute Care Hospital
- Vallejo, CA
- NPI 1366686248
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.