Active NPI
Anthony Wong, MD
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Beverly Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- License
- A200971
- Practice address
- 9675 Brighton Way Ste 410
Beverly Hills, CA 90210-5192 - Phone
- (310) 363-8757
- NPI assigned
- Apr 29, 2019
- Last updated
- Oct 26, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | A200971 | CA | Primary |
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | 28255 | NV |
Addresses
Primary practice location
9675 Brighton Way Ste 410
Beverly Hills, CA 90210-5192
Mailing address
9675 Brighton Way Ste 410
Beverly Hills, CA 90210-5192
Other practice location 1
150 N Robertson Blvd Ste 314
Beverly Hills, CA 90211-2145
Phone (310) 657-4302
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Rush Medical College of Rush University, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3426 Black Willow Trail
Deland, FL 32724-7226
732 Innsbruck Dr
Orlando, FL 32825-6644
9675 Brighton Way
Suite 410
Beverly Hills, CA 90210-5192
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A200971 | CA | MD | Ophthalmic Plastic and Reconstructive Surgery Physician |
| 28255 | NV | MD | Ophthalmic Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Health IV Clinic PC | Current | Accepting new patients | |
| Thrive Health IV Clinic, P.C. | Current | Accepting new patients | |
| Thrive Health IV Clinic PC | Current | Accepting new patients |
Locations
9675 Brighton Way
Ste 410
Beverly Hills, CA 90210
Phone (310) 274-2525
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Beverly Hills, CA
- NPI 1386343580
-
- Multi-Specialty Clinic/Center
- Rancho Palos Verdes, CA
- NPI 1043193972
-
- Multi-Specialty Clinic/Center
- Sherman Oaks, CA
- NPI 1497615686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761436800000",
"number": "1669036257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9675 BRIGHTON WAY STE 410",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902105192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9675 BRIGHTON WAY STE 410",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902105192",
"telephone_number": "310-363-8757"
}
],
"practiceLocations": [
{
"address_1": "150 N Robertson Blvd Ste 314",
"address_purpose": "LOCATION",
"city": "Beverly Hills",
"state": "CA",
"postal_code": "902112145",
"country_code": "US",
"telephone_number": "310-657-4302",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WONG",
"first_name": "ANTHONY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-29",
"last_updated": "2025-10-26",
"certification_date": "2025-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "CA",
"license": "A200971",
"primary": true
},
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "NV",
"license": "28255",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2025; 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.
- 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.