Gordon K Wong, M.D., PH.D., M.P.H.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

A71751 Issued in CA

Practice address

409 W Main St
Alhambra, CA 91801-3433

Phone

(626) 382-1263

Fax

(626) 382-1252

NPI assigned

May 5, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

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.

• Kind and Total Health System, Inc.

  • Public Health & General Preventive Medicine Physician
  • Alhambra, CA
  • NPI 1952577728
  Medicare reassignment Authorized official
• St.Louis Chinese Community Service Ctr

  dba Chinese Community Health Center

  • Public Health & General Preventive Medicine Physician
  • Saint Louis, MO
  • NPI 1619985694
  NPD (past)

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1639345184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W MAIN ST",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013433",
            "telephone_number": "626-382-1263",
            "fax_number": "626-382-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W MAIN ST",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013433",
            "telephone_number": "626-382-1263",
            "fax_number": "626-382-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "GORDON",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-05",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "A71751",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A71751",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denny Sing Wong, D.C.
• Derek Wong, D.D.S., M.S.
• Elsie Wong, PHARM.D.
• Eric Wong, D.C., L.AC
• Fiona Wong
• Ivy Wong
• Jacky Yan Chun Wong, DC
• Jacqueline C Wong, M.D.
• James T Wong, MS, PA-C
• Julie Wong

• Public Health & General Preventive Medicine Physician in Alhambra, CA
• Providers in Alhambra, CA by specialty
• Public Health & General Preventive Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.