Individual provider Active NPI

Kelvin S Wong, MD

  • Urology Physician
  • Oxnard, CA
National Provider Identifier
1710117932
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A128942 Issued in CA
Practice address
1700 N Rose Ave
Suite 370
Oxnard, CA 93030-3790
Phone
(805) 973-5902
Fax
(805) 973-5905
NPI assigned
Jul 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A128942 CA Primary

Addresses

Primary practice location

1700 N Rose Ave
Suite 370
Oxnard, CA 93030-3790

Mailing address

1901 Holser Walk Ste 310
Oxnard, CA 93036-2633
Phone (805) 973-5902

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
I20140828000482 CA Practitioner - Urology 0648402024 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Toledo Medical College, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sherif Aboseif MD IncGroup PAC ID 0648308346, 3 clinicians
Genesis Healthcare Partners PCGroup PAC ID 2163606807, 232 clinicians

Practice addresses (Care Compare)

1901 Holser Walk
Suite 310
Oxnard, CA 93036-2633
Phone (805) 973-5902

9850 Genesee Ave
Suite 440
La Jolla, CA 92037-1212
Phone (858) 453-5944

Hospital & facility affiliations

  • St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082

Merit-based Incentive Payment System (MIPS)

Final score
98.79 of 100Reported as group
Quality
91.79
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A128942CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sherif Aboseif MD Inc Urology CurrentSince Aug 1, 2015 Accepting new patients
Dignity Health Past Accepting new patients

Locations

2486 N Ponderosa Dr
Ste 202
Camarillo, CA 93010

1901 Holser Walk
Ste 310
Oxnard, CA 93036
Phone (805) 973-5902

1700 N Rose Ave
Ste 370
Oxnard, CA 93030
Phone (805) 388-2068

166 N Moorpark Rd
Ste 303
Thousand Oaks, CA 91360
Phone (805) 371-4700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kelvinwong@saboseif.medalliesdirect.net

Organizations & group practices 3

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 1

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": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1710117932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 HOLSER WALK STE 310",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362633",
            "telephone_number": "805-973-5902",
            "fax_number": "805-973-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N ROSE AVE",
            "address_2": "SUITE 370",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930303790",
            "telephone_number": "805-973-5902",
            "fax_number": "805-973-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "KELVIN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-22",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A128942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.