NPIMap

Individual provider Active NPI

Clifford Wong, MD

  • Nephrology Physician
  • Hayward, CA
National Provider Identifier
1780621706
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A68265 Issued in CA
Practice address
27200 Calaroga Ave
Hayward, CA 94545-4339
Phone
(510) 783-2003
Fax
(510) 783-2007
NPI assigned
May 31, 2006
Last updated
Nov 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A68265 CA Primary

Addresses

Primary practice location

27200 Calaroga Ave
Hayward, CA 94545-4339

Mailing address

27200 Calaroga Ave
Hayward, CA 94545-4339
Phone (510) 783-2003

Other identifiers 1

IdentifierTypeStateIssuer
00A682650MedicaidCA

Other names 1

  • Clifford Wong Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051114001189 CA Practitioner - Nephrology 0042239550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of California, San Diego School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Coast KidneyGroup PAC ID 1759700149, 56 clinicians

Practice addresses (Care Compare)

1999 Mowry Ave
Suite R
Fremont, CA 94538-1723
Phone (510) 745-8187

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
94.05
Promoting interoperability
100
Improvement activities
40
Cost
80.39

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Township Hospital District Past Accepting new patients
Diablo Nephrology Medical Group, Inc Specialist Past Accepting new patients
Dialysis Access Center a Medical Corporation Nephrology PastSince Oct 15, 2023 Accepting new patients
Dialysis Access Center a Medical Corporation PastSince Oct 15, 2023 Accepting new patients
Hayward Sisters Hospital Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: clifford.wong.1@8243.direct.athenahealth.com
  • Direct secure messaging: cwong14666@alamedahs.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/11865/brand/1/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1780621706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27200 CALAROGA AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454339",
            "telephone_number": "510-783-2003",
            "fax_number": "510-783-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27200 CALAROGA AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454339",
            "telephone_number": "510-783-2003",
            "fax_number": "510-783-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "CLIFFORD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A68265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A682650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLIFFORD",
            "last_name": "WONG",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hayward, CA

Sources for this page

Verify at the official NPI Registry.