Individual provider Active NPI

Willard Bung Eu Wong, MD

  • Orthopaedic Surgery of the Spine Physician
  • Salinas, CA
National Provider Identifier
1487694055
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
G76618 Issued in CA
Practice address
611 Abbott St Ste 101
Salinas, CA 93901-4314
Phone
(831) 757-3041
Fax
(831) 757-4612
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X G76618 CA Primary

Addresses

Primary practice location

611 Abbott St Ste 101
Salinas, CA 93901-4314

Mailing address

611 Abbott St Ste 101
Salinas, CA 93901-4314
Phone (831) 757-3041

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20081210000755 CA Practitioner - Orthopedic Surgery 4082602347 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Hawaii John a. Burns School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of MontereyGroup PAC ID 2466345632, 186 clinicians
Svmhs ClinicsGroup PAC ID 1456592351, 258 clinicians

Practice addresses (Care Compare)

1270 Natividad Rd
Salinas, CA 93906-3144

1270 Natividad Rd
146.38
Salinas, CA 93906-3198

1441 Constitution Blvd
Salinas, CA 93906-3100

1441 Constitution Blvd
Salinas, CA 93912
Phone (831) 755-4235

1615 Bunker Hill Way
Suite 100
Salinas, CA 93906-6010

611 Abbott St
Suite 101
Salinas, CA 93901-4391
Phone (831) 757-3041

PO Box
Suite 80007
Salinas, CA 93912

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion11
Laminectomy or laminotomy (partial removal of spine bones)11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Svmhs Clinics CurrentSince Dec 15, 2016 Accepting new patients
Svmhs Clinics CurrentSince Dec 15, 2016 Accepting new patients
Lancelot O Alexander MD a Medical Corporation Past Accepting new patients
Hazel Hawkins Memorial Hospital Past Accepting new patients
Salinas Valley Memorial Healthcare System Past Accepting new patients

Locations

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

611 Abbott St
Ste 101
Salinas, CA 93901
Phone (831) 676-3573

1033 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-2866

611 Abbott St
Ste 100
Salinas, CA 93901
Phone (831) 755-3578

Interoperability endpoints

  • Direct secure messaging: wwong11751@direct.svmh.com
  • Direct secure messaging: wwong@direct.precision.md

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 3

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1487694055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 ABBOTT ST STE 101",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014314",
            "telephone_number": "831-757-3041",
            "fax_number": "831-757-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 ABBOTT ST STE 101",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014314",
            "telephone_number": "831-757-3041",
            "fax_number": "831-757-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "WILLARD",
        "middle_name": "BUNG EU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "G76618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.