Individual provider Active NPI

Andrew K Wong, M.D.

  • Neurological Surgery Physician
  • Santa Monica, CA
National Provider Identifier
1700312683
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A194635 Issued in CA
Practice address
2125 Arizona Ave
Santa Monica, CA 90404-1337
Phone
(310) 582-7640
NPI assigned
May 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X A194635 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2125 Arizona Ave
Santa Monica, CA 90404-1337

Mailing address

2125 Arizona Ave
Santa Monica, CA 90404-1337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240507004004 CA Practitioner - Neurosurgery 7012289267 Reassigns benefits to 1 organization
I20250806002928 TX Practitioner - Neurosurgery 7012289267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

12505 Lebanon Rd
Suite 1442
Frisco, TX 75035-8298
Phone (972) 963-3550

2125 Arizona Ave
Santa Monica, CA 90404-1337
Phone (310) 582-7450

3800 Gaylord Pkwy
Suite 910
Frisco, TX 75034-9419
Phone (469) 800-7560

4700 Alliance Blvd
Plano, TX 75093-5323

4716 Alliance Blvd
Suite 700
Plano, TX 75093-5389
Phone (469) 800-6000

5252 W University Dr
McKinney, TX 75071-7822
Phone (469) 764-6950

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
96.07
Promoting interoperability
100
Improvement activities
40
Cost
71.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion28
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A194635CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Current Accepting new patients
Healthtexas Provider Network CurrentSince Sep 22, 2025 Accepting new patients
Healthtexas Provider Network CurrentSince Sep 22, 2025 Accepting new patients
Providence Saint Johns Medical Foundation CurrentSince Jun 1, 2024 Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

2125 Arizona Ave
Santa Monica, CA 90404
Phone (310) 582-7450

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742

5236 W University Dr
Ste 2000
McKinney, TX 75071
Phone (469) 800-5036

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: awong1444497@direct.sw.org

Organizations & group practices 5

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 6

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1700312683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 ARIZONA AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 ARIZONA AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041337",
            "telephone_number": "310-582-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ANDREW",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A194635",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.