Ervin Wong MD Incorporated

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

ERVIN WONG MD INCORPORATED

Practice address

728 Pacific Ave Ste 506
San Francisco, CA 94133-4449

Phone

(415) 837-0861

NPI assigned

Apr 7, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Ervin WongNPI 1386674471

Title

Ceo

Phone

(415) 837-0861

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ervin Patrick Wong, M.D.

  • Ophthalmology Physician
  • San Francisco, CA
  • NPI 1386674471

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608681600000",
    "number": "1487283776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 PACIFIC AVE STE 506",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334449",
            "telephone_number": "415-837-0861",
            "fax_number": "415-986-1932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 PACIFIC AVE STE 506",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334449",
            "telephone_number": "415-837-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERVIN WONG MD INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "ERVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-837-0861",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A811700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ariane Etienne Eroy, PH. D.
• Lauren Morgan Errea
• Sarah Ertan, MS
• Laurie Phuong T Ertley, LMFT
• Jewel Erugo
• Arleen Gaye Ervin-King, N.P.
• Nikol Marga Erwin, 101YA0400X
• Patricia A Erwin, MPH
• Shayne Erwin, NP
• Jesus Angel Escalante

• Ophthalmology Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.