NPIMap

Individual provider Active NPI

Andrew Wei Ping Wong

  • Diagnostic Radiology Physician
  • San Francisco, CA
National Provider Identifier
1679964852
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD481649 Issued in PA
Practice address
1560 3Rd St
San Francisco, CA 94158-2303
Phone
(570) 271-6000
NPI assigned
Feb 10, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X MD481649 PA Primary

Addresses

Primary practice location

1560 3Rd St
San Francisco, CA 94158-2303

Mailing address

4610 X St
Office of Medical Education
Sacramento, CA 95817-2200

Other practice location 1

100 North Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220723000007 MA Practitioner - Diagnostic Radiology 5092196956 Reassigns benefits to 2 organizations
I20231025001386 CA Practitioner - Diagnostic Radiology 5092196956 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger-HM Joint Venture LLCGroup PAC ID 1355676370, 426 clinicians
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

San Francisco, CA 94158
Phone (570) 271-6144

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD481649PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Medical Associates, Inc. Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Brigham & Womens Physicians Organization Inc CurrentSince Jul 1, 2022 Accepting new patients
Harbor Medical Associates, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Geisinger-HM Joint Venture LLC Diagnostic Radiology CurrentSince Sep 13, 2023 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Sep 13, 2023 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Sep 13, 2023 Accepting new patients

Locations

75 Francis St
Boston, MA 02115

1153 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-7000

254 2nd Ave
Lowr
Needham Heights, MA 02494
Phone (781) 416-8400

541 Main St
Ste 201
South Weymouth, MA 02190
Phone (781) 335-4815

541 Main St
Ste 314
Weymouth, MA 02190
Phone (781) 952-1200

100 N Academy Ave
Danville, PA 17822

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 67

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

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1679964852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 X ST",
            "address_2": "OFFICE OF MEDICAL EDUCATION",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 3RD ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582303",
            "telephone_number": "570-271-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 North Academy Ave",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "PA",
            "postal_code": "178229800",
            "country_code": "US",
            "telephone_number": "570-271-6301",
            "fax_number": "570-271-5976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "ANDREW",
        "middle_name": "WEI PING",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-10",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD481649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.