Individual provider Active NPI

Edward Tze Wong, M.D.

  • Gastroenterology Physician
  • Lancaster, CA
National Provider Identifier
1679559157
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G63865 Issued in CA
Practice address
44725 10TH St West #250
Lancaster, CA 93534-3048
Phone
(661) 945-1874
Fax
(661) 945-2584
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X G63865 CA Primary

Addresses

Primary practice location

44725 10TH St West #250
Lancaster, CA 93534-3048

Mailing address

44725 10TH St W
Lancaster, CA 93534-3048
Phone (661) 945-1874

Other identifiers 1

IdentifierTypeStateIssuer
G638650MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050225000818 CA Practitioner - Internal MedicinePractitioner - Gastroenterology 9436101235 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Albert Einstein College of Medicine of Yeshiva University, 1987
Medicare assignment
May accept Medicare assignment
Group practices
County of Los AngelesGroup PAC ID 1850296534, 395 clinicians

Practice addresses (Care Compare)

123 W Manchester Blvd
Inglewood, CA 90301-1753
Phone (310) 419-5325

1523 W Ave J
Suite 2
Lancaster, CA 93534-2819
Phone (661) 945-1874

44725 10TH St W
Suite 250
Lancaster, CA 93534-3048

Hospital & facility affiliations

  • Palmdale Regional Medical Center Hospital, Palmdale, CA, CCN 050204
  • Antelope Valley Hospital Hospital, Lancaster, CA, CCN 050056

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy81
Upper gastrointestinal (GI) endoscopy for acid reflux59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G63865CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Gastroenterology Current Accepting new patients
County of Los Angeles Auditor Controller CurrentSince Oct 12, 2025 Accepting new patients
County of Los Angeles Current Accepting new patients
Edward T. Wong MD Inc CurrentSince Jan 1, 2024 Accepting new patients
Sierra Gastroenterology Gastroenterology CurrentSince Jan 1, 2005 Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

1000 S Fremont Ave
Bldg A11
Alhambra, CA 91803
Phone (626) 457-4240

335 E Avenue I
Lancaster, CA 93535
Phone (661) 471-4000

1523 W Avenue J
Ste 2
Lancaster, CA 93534
Phone (661) 945-1874

44725 10th St W
Ste 250
Lancaster, CA 93534
Phone (661) 726-3750

20960 Sage Ln
Ste A
Tehachapi, CA 93561
Phone (661) 822-2890

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679559157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44725 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343048",
            "telephone_number": "661-945-1874",
            "fax_number": "661-945-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44725 10TH ST WEST #250",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343048",
            "telephone_number": "661-945-1874",
            "fax_number": "661-945-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "EDWARD",
        "middle_name": "TZE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G63865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G638650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.