Active NPI
Peter Lap Wong, MD
- Surgery Physician
- Merced, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A112472
- Practice address
- 3351 M St
105
Merced, CA 95348-2700 - Phone
- (209) 384-8111
- Fax
- (209) 384-8112
- NPI assigned
- May 25, 2007
- Last updated
- Jan 8, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A112472 | CA | Primary |
Addresses
Primary practice location
3351 M St
105
Merced, CA 95348-2700
Mailing address
PO Box 2657
Merced, CA 95344-0657
Phone (209) 384-8111
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Georgetown University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 Coffee Rd
Modesto, CA 95355-2803
Phone (209) 404-2261
520 W I St
Los Banos, CA 93635-3419
Phone (209) 826-0591
807 Illinois Ave
Los Banos, CA 93635-3512
Phone (209) 710-8695
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A112472 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acute Care Surgery Medical Group, Inc. | Surgery | Current | Accepting new patients |
| Surgical Affiliates of California | Surgery | Current | Accepting new patients |
| Memorail Hospital of Los Banos | Past | Accepting new patients | |
| Acute Care Surgery Medical Group, Inc. | Surgery | Past | Accepting new patients |
| Dignity Health | Past | Accepting new patients |
Locations
5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000
520 W I St
Los Banos, CA 93635
Phone (209) 724-0316
807 Illinois Ave
Los Banos, CA 93635
Phone (209) 710-8542
27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744
4001 J St
Sacramento, CA 95819
Phone (916) 453-4037
1800 Spring Ridge Dr
Susanville, CA 96130
Phone (530) 252-2225
1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000
Interoperability endpoints
- pwong349076@hisp.ehr.sutterhealth.org
Organizations & group practices 7
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.
-
- Surgery Physician
- Sacramento, CA
- NPI 1700069549
-
- Surgery Physician
- Los Banos, CA
- NPI 1932440781
-
- Trauma Surgery Physician
- Modesto, CA
- NPI 1366824161
-
- Surgery Physician
- Merced, CA
- NPI 1336453307
-
dba Mercy Medical Center Merced
- General Acute Care Hospital
- Merced, CA
- NPI 1518018191
-
- General Acute Care Hospital
- Los Banos, CA
- NPI 1154302271
-
- Surgery Physician
- Westminster, CO
- NPI 1477239267
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Hospital Los Banos
- General Acute Care Hospital
- Los Banos, CA
- NPI 1366896300
-
dba Memorial Medical Center
- General Acute Care Hospital
- Modesto, CA
- NPI 1699129601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357603200000",
"number": "1831300284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2657",
"city": "MERCED",
"state": "CA",
"postal_code": "953440657",
"telephone_number": "209-384-8111",
"fax_number": "209-384-8112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3351 M ST",
"address_2": "105",
"city": "MERCED",
"state": "CA",
"postal_code": "953482700",
"telephone_number": "209-384-8111",
"fax_number": "209-384-8112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "PETER",
"middle_name": "LAP",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-25",
"last_updated": "2013-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A112472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.