Individual provider Active NPI

Davies Wong, M.D.

  • Pulmonary Disease Physician
  • San Diego, CA
National Provider Identifier
1841282407
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G58356 Issued in CA
Practice address
7910 Frost Street
Suite 245
San Diego, CA 92123
Phone
(858) 650-5037
Fax
(858) 650-5039
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X G58356 CA Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X G58356 CA
Hospitalist Physician 208M00000X G58356 CA
Internal Medicine Physician 207R00000X G58356 CA

Addresses

Primary practice location

7910 Frost Street
Suite 245
San Diego, CA 92123

Mailing address

7910 Frost Street
Suite 245
San Diego, CA 92123
Phone (858) 650-5037

Other identifiers 1

IdentifierTypeStateIssuer
00G583560MedicaidCA

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
I20060821000396 CA Practitioner - Pulmonary Disease 4082686142 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
New York University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians
Chest Medicine and Critical Care Medical Group IncGroup PAC ID 6103898259, 26 clinicians

Practice addresses (Care Compare)

250 Prospect PL
Coronado, CA 92118-1943
Phone (619) 522-3600

751 Med Ctr CT
Chula Vista, CA 91911-6617
Phone (619) 502-5800

7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
73.46
Improvement activities
20
Cost
73.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G58356CAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel J. Clark, M.D., Inc. Pulmonary Disease CurrentSince Jul 1, 2005 Accepting new patients
KND Development 59, LLC Hospitalist CurrentSince Jul 6, 2010 Accepting new patients
KND Development 59 LLC Hospitalist Current Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Sep 1, 2007 Accepting new patients
KND Development 59 LLC Hospitalist CurrentSince Jul 6, 2010 Accepting new patients
Chest Medicine and Critical Care Medical Group, Inc. Internal Medicine CurrentSince Oct 18, 1992 Accepting new patients

Locations

751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639

5525 W Slauson Ave
Los Angeles, CA 90056
Phone (310) 642-0325

7901 Frost St
Ste 434
San Diego, CA 92123
Phone (619) 541-3366

7901 Frost St
Ste 245
San Diego, CA 92123

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

250 Prospect Pl
San Diego, CA 92118
Phone (619) 522-3600

4940 El Cajon Blvd
San Diego, CA 92115
Phone (619) 543-4500

1940 El Cajon Blvd
San Diego, CA 92104
Phone (619) 543-4500

7901 Frost St
Fl S
San Diego, CA 92123

7910 Frost St
Ste 245
San Diego, CA 92123
Phone (858) 650-5036

8008 Frost St
Ste 401
San Diego, CA 92123
Phone (858) 309-5931

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 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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1841282407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 FROST STREET",
            "address_2": "SUITE 245",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "858-650-5037",
            "fax_number": "858-650-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 FROST STREET",
            "address_2": "SUITE 245",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "858-650-5037",
            "fax_number": "858-650-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "DAVIES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G58356",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "G58356",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "G58356",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G58356",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G583560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.