Active NPI
Alvin Wong, PHYSICIAN ASSISTANT
- Physician Assistant
- Daly City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA63837
- Practice address
- 901 Campus Dr Ste 214
Daly City, CA 94015-4930 - Phone
- (650) 993-6300
- NPI assigned
- Jan 24, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA63837 | CA | Primary |
Addresses
Primary practice location
901 Campus Dr Ste 214
Daly City, CA 94015-4930
Mailing address
1388 Broadway Unit 181
Millbrae, CA 94030-1364
Phone (347) 399-2621
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Duke University School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
27200 Calaroga Ave
Hayward, CA 94545-4339
Phone (510) 264-4026
525 W Acacia St
Stockton, CA 95203-2405
Phone (530) 244-5400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63837 | CA | MD | Pharmacist |
| PA63837 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Pacific Medical Group, Inc. | Past | Accepting new patients |
Interoperability endpoints
- alvin.wong.1@24668.direct.athenahealth.com
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.
-
- Emergency Medicine Physician
- Redding, CA
- NPI 1508605635
-
dba Brown & Toland Medical Group
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1275002453
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Seton Medical Center ,Seton Medical Center Coastside
- General Acute Care Hospital
- Daly City, CA
- NPI 1023636545
-
dba Seton Medical Center, Seton Medica Center Coastside
- Psychiatric Hospital Unit
- Daly City, CA
- NPI 1639797855
-
dba St. Rose Hospital
- General Acute Care Hospital
- Hayward, CA
- NPI 1942298153
-
dba Mills-Peninsula Medical Center
- General Acute Care Hospital
- Burlingame, CA
- NPI 1043670334
-
dba Menlo Park Surgical Hospital
- General Acute Care Hospital
- Menlo Park, CA
- NPI 1295199701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1669234852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1388 BROADWAY UNIT 181",
"city": "MILLBRAE",
"state": "CA",
"postal_code": "940301364",
"telephone_number": "347-399-2621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 CAMPUS DR STE 214",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940154930",
"telephone_number": "650-993-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "ALVIN",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-24",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA63837",
"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 Jan 24, 2024; 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.