Active NPI
Michael H. Wong D.O. a Professional Corporation
- Anesthesiology Physician
- Irvine, CA
National Provider Identifier
1861820292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 20A6336
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20A6336 | Other | CA | STATE LICENSE |
National Provider Directory
National Provider DirectoryNPI 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.