NPIMap

Individual provider Active NPI

Fook Y Wong, M.D.

  • Orthopaedic Surgery Physician
  • San Jose, CA
National Provider Identifier
1528120904
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G66621 Issued in CA
Practice address
175 N Jackson Ave
Suite 104
San Jose, CA 95116-1909
Phone
(408) 258-6566
Fax
(408) 258-6660
NPI assigned
Dec 14, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G66621 CA Primary

Addresses

Primary practice location

175 N Jackson Ave
Suite 104
San Jose, CA 95116-1909

Mailing address

175 N Jackson Ave
Suite 104
San Jose, CA 95116-1909
Phone (408) 258-6566

Other identifiers 1

IdentifierTypeStateIssuer
G66621OtherCACAL MD LICENSE #

Other names 1

  • Frank Fook Y Wong Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050315000422 CA Practitioner - Orthopedic Surgery 8628023447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Stanford University School of Medicine, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

175 N Jackson Ave
Suite 104
San Jose, CA 95116-1909
Phone (408) 258-6566

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
16.57 of 100Reported as individual
Quality
2.6
Improvement activities
0
Cost
51.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement18
Lower limb (leg) arthroscopy (minimally invasive joint repair)83
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue73

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frank Fook Y. Wong, MD, Inc. CurrentSince Aug 15, 2003 Accepting new patients
County of Santa Clara Past Accepting new patients
County of Santa Clara Past Accepting new patients
O'Connor Hospital Past Accepting new patients

Locations

175 N Jackson Ave
Ste 104
San Jose, CA 95116
Phone (408) 258-6566

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: fwong126098@santaclaravalley.direct-ci.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1528120904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 N JACKSON AVE",
            "address_2": "SUITE 104",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161909",
            "telephone_number": "408-258-6566",
            "fax_number": "408-258-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N JACKSON AVE",
            "address_2": "SUITE 104",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161909",
            "telephone_number": "408-258-6566",
            "fax_number": "408-258-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "FOOK",
        "middle_name": "Y",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G66621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAL MD LICENSE #",
            "identifier": "G66621",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANK",
            "last_name": "WONG",
            "middle_name": "FOOK Y",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.