Organization Active NPI

John Lai and Kevin Wong Medical Corporation

  • Internal Medicine Physician
  • Daly City, CA
National Provider Identifier
1528126364
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G79696 Issued in CA
Legal business name
JOHN LAI AND KEVIN WONG MEDICAL CORPORATION
Practice address
1500 Southgate Ave Ste 115
Daly City, CA 94015-2205
Phone
(650) 991-4466
Fax
(650) 991-4467
NPI assigned
Dec 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kevin Mingyiu Wong, M.D.NPI 1477523991
Title
Secretary
Phone
(650) 991-4466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G79696 CA Primary

Addresses

Primary practice location

1500 Southgate Ave Ste 115
Daly City, CA 94015-2205

Mailing address

1500 Southgate Ave Ste 115
Daly City, CA 94015-2205
Phone (650) 991-4466

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528126364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SOUTHGATE AVE STE 115",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152205",
            "telephone_number": "650-991-4466",
            "fax_number": "650-991-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SOUTHGATE AVE STE 115",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152205",
            "telephone_number": "650-991-4466",
            "fax_number": "650-991-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN LAI AND KEVIN WONG MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MINGYIU",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "650-991-4466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G79696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.