Individual provider Active NPI

Ashley Wong, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Fountain Valley, CA
National Provider Identifier
1841687472
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
20A18424 Issued in CA
Practice address
18035 Brookhurst St Ste 1200
Fountain Valley, CA 92708-6738
Phone
(714) 963-7240
NPI assigned
Apr 21, 2015
Last updated
Jan 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 20A18424 CA Primary

Addresses

Primary practice location

18035 Brookhurst St Ste 1200
Fountain Valley, CA 92708-6738

Mailing address

16787 Beach Blvd Ste 276
Huntington Beach, CA 92647-4848
Phone (714) 963-7240

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
I20201210001338 CA Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 7618262601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
New York College of Osteo Medicine of New York Institute of Technology, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Medical DoctorsGroup PAC ID 2961305651, 168 clinicians

Practice addresses (Care Compare)

28078 Baxter Rd
Suite 530
Murrieta, CA 92563-1405
Phone 9515665229125

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A18424CAMDPain Medicine (Physical Medicine & Rehabilitation) Physician
18424CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Doctors CurrentSince Mar 1, 2022 Accepting new patients
United Medical Doctors Pain Medicine CurrentSince Mar 1, 2022 Accepting new patients

Locations

2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191

521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560

18111 Brookhurst St
Ste 3100
Fountain Vly, CA 92708
Phone (714) 378-7390

15775 Laguna Canyon Rd
Ste 240
Irvine, CA 92618
Phone (949) 753-8843

28078 Baxter Rd
Ste 530
Murrieta, CA 92563
Phone (951) 290-5472

1525 Superior Ave
Ste 212
Newport Beach, CA 92663
Phone (949) 645-1967

400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398

44605 Avenida de Missiones
Ste 201
Temecula, CA 92592

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: awong664637@direct.memorialcare.org
  • FHIR API: https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 1

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": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1841687472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16787 BEACH BLVD STE 276",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926474848",
            "telephone_number": "714-963-7240",
            "fax_number": "714-963-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18035 BROOKHURST ST STE 1200",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086738",
            "telephone_number": "714-963-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ASHLEY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2021-01-19",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "20A18424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.