Individual provider Active NPI

Ritchie Wong, M.D.

  • Family Medicine Physician
  • Carmichael, CA
National Provider Identifier
1821054552
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G34923 Issued in CA
Practice address
3650 Mission Ave
Suite 1
Carmichael, CA 95608-2933
Phone
(916) 972-0882
Fax
(916) 972-0649
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G34923 CA Primary

Addresses

Primary practice location

3650 Mission Ave
Suite 1
Carmichael, CA 95608-2933

Mailing address

3650 Mission Ave
Suite 1
Carmichael, CA 95608-2933
Phone (916) 972-0882

Other identifiers 3

IdentifierTypeStateIssuer
758083183OtherCARAILROAD MEDICARE
00G349230OtherCABLUE SHIELD
G34923MedicaidCA

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
I20060509000514 CA Practitioner - Family Practice 0446261119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, San Francisco School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ritchie Wong MD IncGroup PAC ID 8022232404, 2 clinicians

Practice addresses (Care Compare)

3650 Mission Ave
Suite 1
Carmichael, CA 95608-2933
Phone (916) 972-0882

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions78
Removal of nail tissue1-10
Removal or shaving of skin growth13
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G34923CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ritchie Wong, MD, Inc Family Medicine CurrentSince Aug 22, 2013 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Dignity Health Past Accepting new patients
Sutter Delta Medical Center Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rwong16059@hpmg.direct-ci.net

Organizations & group practices 5

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1821054552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 MISSION AVE",
            "address_2": "SUITE 1",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956082933",
            "telephone_number": "916-972-0882",
            "fax_number": "916-972-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 MISSION AVE",
            "address_2": "SUITE 1",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956082933",
            "telephone_number": "916-972-0882",
            "fax_number": "916-972-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "RITCHIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G34923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "758083183",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G349230",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G34923",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

Verify at the official NPI Registry.