Individual provider Active NPI

Edmond Yu-Ping Wong, M.D.

  • Family Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1679623730
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A61834 Issued in CA
Practice address
360 San Miguel Dr Ste 706
Newport Beach, CA 92660-5927
Phone
(949) 646-7733
Fax
(949) 646-6155
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A61834 CA Primary

Addresses

Primary practice location

360 San Miguel Dr Ste 706
Newport Beach, CA 92660-5927

Mailing address

360 San Miguel Dr Ste 706
Newport Beach, CA 92660-5927
Phone (949) 646-7733

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
I20130124000186 CA Practitioner - Family Practice 4284887365

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

360 San Miguel Dr
Suite 706
Newport Beach, CA 92660-5927
Phone (949) 646-7733

Hospital & facility affiliations

  • Hoag Home Health Home health agency, Newport Beach, CA, CCN 557412
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorialcare Medical Foundation Family Medicine CurrentSince Apr 30, 2018 Accepting new patients

Locations

15 Mareblu
Ste 100
Aliso Viejo, CA 92656
Phone (949) 448-0656

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

2110 N Bellflower Blvd
Long Beach, CA 90815
Phone (562) 346-2222

Organizations & group practices 1

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1679623730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR STE 706",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605927",
            "telephone_number": "949-646-7733",
            "fax_number": "949-646-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR STE 706",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605927",
            "telephone_number": "949-646-7733",
            "fax_number": "949-646-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "EDMOND",
        "middle_name": "YU-PING",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A61834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.