Active NPI
Kai Wai Wong, M.D.
- Ophthalmology Physician
- Bakersfield, CA
National Provider Identifier
1700950599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G64403
- Practice address
- 2323 16TH St
#501
Bakersfield, CA 93301-3420 - Phone
- (661) 327-4484
- Fax
- (661) 327-7077
- NPI assigned
- Nov 20, 2006
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G64403 | CA | Primary |
Addresses
Primary practice location
2323 16TH St
#501
Bakersfield, CA 93301-3420
Mailing address
2323 16TH St
#501
Bakersfield, CA 93301-3420
Phone (661) 327-4484
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120125000524 | CA | Practitioner - Ophthalmology | 0749457182 | Practice locations: Bakersfield, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G64403 | CA | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700950599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 16TH ST",
"address_2": "#501",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933013420",
"telephone_number": "661-327-4484",
"fax_number": "661-327-7077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 16TH ST",
"address_2": "#501",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933013420",
"telephone_number": "661-327-4484",
"fax_number": "661-327-7077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "KAI",
"middle_name": "WAI",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "G64403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.