Organization Active NPI

Michael H. Wong D.O. a Professional Corporation

  • Anesthesiology Physician
  • Irvine, CA
National Provider Identifier
1861820292
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20A6336 Issued in CA
Legal business name
MICHAEL H. WONG D.O. A PROFESSIONAL CORPORATION
Practice address
15 Bayleaf LN
Irvine, CA 92620-1261
Phone
(949) 701-1133
NPI assigned
Oct 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Authorized official

Name
Michael H Wong, D.O.
Title
Medical Director/ Owner
Phone
(949) 701-1133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 20A6336 CA Primary

Addresses

Primary practice location

15 Bayleaf LN
Irvine, CA 92620-1261

Mailing address

15 Bayleaf LN
Irvine, CA 92620-1261
Phone (949) 701-1133

Other identifiers 1

IdentifierTypeStateIssuer
20A6336OtherCASTATE LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1861820292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BAYLEAF LN",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926201261",
            "telephone_number": "949-701-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BAYLEAF LN",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926201261",
            "telephone_number": "949-701-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL H. WONG D.O. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/ OWNER",
        "authorized_official_telephone_number": "949-701-1133",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A6336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "20A6336",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.