Tony Lee Wong, M.D.
Individual provider Active NPI Internal Medicine Physician · Daly City, CA
NPI 1831274422 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1831274422
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A051262 (CA)
- Practice address
- 1800 Sullivan Ave RM 104
Daly City, CA 94015-2227 - Phone
- (650) 992-5300
- Fax
- (650) 992-5395
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 15
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1800 Sullivan Ave
RM 104
Daly City, CA 94015-2227
Phone (650) 992-5300
Hospital & facility affiliations
- Alliance Home Health
- Bay Nation Home Health Services Inc
- Sutter Care at Home
- Alphacare Home Health
- Ahmc Seton Medical Center
- Peninsula Medical Center
- Stanford Health Care
Merit-based Incentive Payment System (MIPS)
- Final score
- 19.56 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 65.21
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100208000120 | CA | Practitioner - Internal Medicine | 0244373611 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A051262 | CA | MD | Internal Medicine Physician |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tony Lee Wong, MD., Inc. | Current |
Accepting new patients | |
| Hill Physicians Medical Group - PPO Program | Past |
Accepting new patients |
Locations
1800 Sullivan Ave
Rm 104
Daly City, CA 94015
Phone (650) 992-5300
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A051262 | CA | Yes |
Addresses
Primary practice location
1800 Sullivan Ave RM 104
Daly City, CA 94015-2227
Mailing address
1800 Sullivan Ave RM 104
Daly City, CA 94015-2227
Phone (650) 992-5300
Other providers in Daly City, CA
- Sherwin Wong
- Soo Wong
- Sophia Wong
- Sueanna San Wong
- Terrelea K. Wong
- Victor Joe Wong
- Benison Wu
- Jennie Wu
- Tana Wuyun
- Wani Wynne
All providers in Daly City, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.