Shi Yin Wong MD, a Medical Corporation

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G34772 Issued in CA

Legal business name

SHI YIN WONG MD, A MEDICAL CORPORATION

Practice address

407 W College St
Los Angeles, CA 90012-2313

Phone

(213) 626-3589

Fax

(213) 626-7868

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Shi Yin Wong, M.DNPI 1902986920

Title

Owner

Phone

(213) 626-3589

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3368/brand/1/csg/1/fhir/r4

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shi-Yin Wong, MD

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1902986920
  Medicare reassignment NPD Authorized official
• Kimberly Chan, M.D

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1295166692
  Medicare reassignment NPD
• Joann Chan, PA

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1912298217
  Medicare reassignment
• Chun Jackson NG, D.C., PA-C

  • Physician Assistant
  • City of Industry, CA
  • NPI 1598967507
  Medicare reassignment
• Lynn Kim Tran, PA-C

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1346393196
  Medicare reassignment

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1619029964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 W COLLEGE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122313",
            "telephone_number": "213-626-3589",
            "fax_number": "213-626-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W COLLEGE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122313",
            "telephone_number": "213-626-3589",
            "fax_number": "213-626-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHI YIN WONG MD, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "SHI YIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-626-3589",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "G34772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joey Sheung
• Gabriella Elana Shevel, M.A., AMFT, APCC
• Saba Shevidi, MD
• Susan Shey, MD
• Mana Sheykhsoltan, MD
• Ivy Shi
• Joy Xinyi Shi
• Shelley Shi, MD
• Job Matthew Shiach
• Andrew Shiang

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.