Kenneth Chou Wong, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A92821 Issued in CA

Practice address

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122

Phone

(925) 939-3000

Fax

(925) 947-5286

NPI assigned

Jun 29, 2006

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

University of California, San Diego School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

G2 Anesthesia PCGroup PAC ID 3375873599, 104 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• G2 Anesthesia PC

  • Anesthesiology Physician
  • Los Gatos, CA
  • NPI 1487214698
  Medicare reassignment Care Compare group NPD
• Total Anesthesia Care Inc

  • Anesthesiology Physician
  • Concord, CA
  • NPI 1730806449
  Medicare reassignment NPD

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487682183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7793",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941207793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 YGNACIO VALLEY RD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983122",
            "telephone_number": "925-939-3000",
            "fax_number": "925-947-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "KENNETH",
        "middle_name": "CHOU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A92821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A928210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher P Wong, DDS
• Eden Natalie Wong, OTR/L
• Edlen Wong, PHARM.D.
• Joseph David Wong, O.D. , C.R.A.
• Kammie Yiu Wong
• Mark Alan Wong, DDS
• Mei May Wong
• Oi Lam Wong
• Stacy Lynn Wong, DPT
• Stella Wong

• Anesthesiology Physician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.