Individual provider Active NPI

Christopher Wong, DO

  • Dermatology Physician
  • Newport Beach, CA
National Provider Identifier
1528696200
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
20A22628 Issued in CA
Practice address
500 Superior Ave Ste 335
Newport Beach, CA 92663-3681
Phone
(949) 706-1469
Fax
(949) 706-7307
NPI assigned
Mar 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X V0226 TX
Dermatology Physician 207N00000X 20A22628 CA Primary

Addresses

Primary practice location

500 Superior Ave Ste 335
Newport Beach, CA 92663-3681

Mailing address

500 Superior Ave Ste 335
Newport Beach, CA 92663-3681
Phone (949) 706-1469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240708003593 TX Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 3476962820 Reassigns benefits to 1 organization
I20250702003838 CA Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 3476962820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
College of Osteo Med of the Pacific at Pomona, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Pure DermatologyGroup PAC ID 7416192323, 7 clinicians

Practice addresses (Care Compare)

500 Superior Ave
Suite 335
Newport Beach, CA 92663-3681
Phone (949) 706-1469

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision43
Removal of skin lesions202
Removal of skin cancer197
Removal of nail tissue1-10
Removal or shaving of skin growth17
Skin biopsy94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A22628CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Dermatology Dermatology CurrentSince Aug 4, 2025 Accepting new patients
Surgery Center of Pure Dermatology CurrentSince Aug 4, 2025 Accepting new patients
Oliver Street 5.01(a) Inc. Dermatology CurrentSince Aug 5, 2024 Accepting new patients
Dermatology Associates Dermatology PastSince Aug 5, 2024 Accepting new patients

Locations

500 Superior Ave
Ste 335
Newport Beach, CA 92663
Phone (949) 706-1469

5310 Harvest Hill Rd
Ste 290
Dallas, TX 75230
Phone (214) 420-0672

2001 Rockview Dr
Granbury, TX 76049
Phone (682) 529-7800

2001 Rockview Dr
Ste 101
Granbury, TX 76049
Phone (682) 529-7800

1367 Dominion Plz
Tyler, TX 75703
Phone (903) 534-6200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: cwong@conger.emadirect.md
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: dr.wong@purederm.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1528696200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SUPERIOR AVE STE 335",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633681",
            "telephone_number": "949-706-1469",
            "fax_number": "949-706-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUPERIOR AVE STE 335",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633681",
            "telephone_number": "949-706-1469",
            "fax_number": "949-706-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "V0226",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "20A22628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.