Individual provider Active NPI

Andrew Ong, M.D.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1780138289
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A172470 Issued in CA
Practice address
757 Westwood PLZ
Los Angeles, CA 90095-0006
Phone
(310) 301-6800
NPI assigned
Aug 12, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X A172470 CA Primary
Diagnostic Radiology Physician 2085R0202X D84949 MD

Addresses

Primary practice location

757 Westwood PLZ
Los Angeles, CA 90095-0006

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-5138

Other practice location 1

400 W Pueblo Street
SBCH Medical Education Office
Santa Barbara, CA 93105
Phone (805) 569-7315

Other practice location 2

601 N Caroline St # 3150
Baltimore, MD 21287-0006
Phone (818) 571-3122

Other practice location 3

601 N Caroline St # 3150
Baltimore, MD 21287-0006
Phone (818) 571-3122

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
I20210525003220 CA Practitioner - Diagnostic Radiology 6709133572 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Saint Louis University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Antonio Radiological MedicalGroup PAC ID 8325035942, 54 clinicians

Practice addresses (Care Compare)

12442 Limonite Ave
Eastvale, CA 91752-2467
Phone (951) 393-3010

16465 Sierra Lakes Pkwy
Fontana, CA 92336-1242
Phone (909) 434-1124

7777 Milliken Ave
Rancho Cucamonga, CA 91730-6780
Phone (909) 948-8000

999 San Bernardino Rd
Upland, CA 91786-4920
Phone (909) 985-2811

Hospital & facility affiliations

  • San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099
  • City of Hope Helford Clinical Research Hospital Hospital, Duarte, CA, CCN 050146
  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231
  • St Bernardine Medical Center Hospital, San Bernardino, CA, CCN 050129

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A172470CAMDDiagnostic Radiology Physician
D84949MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Antonio Radiological Medical Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Jul 2, 2021 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Jul 2, 2021 Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

12442 Limonite Ave
Eastvale, CA 91752
Phone (951) 344-4451

970 N Mountain Ave
Ontario, CA 91762
Phone (909) 579-6680

7777 Milliken Ave
Rch Cucamonga, CA 91730
Phone (877) 404-6738

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

685 N 13th Ave
Upland, CA 91786
Phone (909) 500-8683

901 San Bernardino Rd
Fl 3
Upland, CA 91786
Phone (905) 579-6700

Organizations & group practices 4

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 4

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": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1780138289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-301-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLZ",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950006",
            "telephone_number": "310-301-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 W Pueblo Street",
            "address_2": "SBCH Medical Education Office",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "93105",
            "country_code": "US",
            "telephone_number": "805-569-7315",
            "fax_number": "805-569-8358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 N Caroline St # 3150",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870006",
            "country_code": "US",
            "telephone_number": "818-571-3122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 N Caroline St # 3150",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870006",
            "country_code": "US",
            "telephone_number": "818-571-3122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONG",
        "first_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-12",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "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": "CA",
            "license": "A172470",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D84949",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.