Individual provider Active NPI

Lai Leng Wong, NP

  • Acute Care Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1770238180
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95018468 Issued in CA
Practice address
3555 Cesar Chavez
San Francisco, CA 94110-4403
Phone
(415) 600-6000
NPI assigned
Feb 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95018468 CA Primary

Addresses

Primary practice location

3555 Cesar Chavez
San Francisco, CA 94110-4403

Mailing address

311 Polaris Way
San Francisco, CA 94112-4321
Phone (415) 218-6000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220513001556 CA Practitioner - Nurse Practitioner 5799162640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.74 of 100Reported as group
Quality
80.2
Promoting interoperability
100
Improvement activities
40
Cost
76.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Hospitals CurrentSince Feb 5, 2022 Accepting new patients
Sutter Bay Hospitals Current Accepting new patients
Sutter Bay Hospitals CurrentSince Feb 5, 2022 Accepting new patients

Locations

1580 Valencia St
Ste 508
San Francisco, CA 94110
Phone (415) 641-2140

3555 Cesar Chavez
San Francisco, CA 94110
Phone (415) 485-8824

Interoperability endpoints

  • Direct secure messaging: lwong180468@hisp.ehr.sutterhealth.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1770238180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 POLARIS WAY",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941124321",
            "telephone_number": "415-218-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 CESAR CHAVEZ",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104403",
            "telephone_number": "415-600-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "LAI LENG",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95018468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.