Individual provider Active NPI

David W H Wong, MD

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1871584227
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G40576 Issued in CA
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G40576 CA Primary

Addresses

Primary practice location

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915

Mailing address

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1301

Other practice location 1

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050616001183 CA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 9436193703 Reassigns benefits to 13 organizations
I20220816002995 HI Practitioner - Diagnostic Radiology 9436193703 Reassigns benefits to 4 organizations
I20230829001155 TX Practitioner - Diagnostic Radiology 9436193703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norcal ImagingGroup PAC ID 7911099346, 79 clinicians
Modesto Advanced Diagnostic Imaging Medical CenterGroup PAC ID 1850336736, 62 clinicians
Stockton Diagnostic ImagingGroup PAC ID 0749386894, 59 clinicians

Practice addresses (Care Compare)

114 La Casa Via
Suite 100
Walnut Creek, CA 94598-3044
Phone (925) 937-6100

157 E Coolidge Ave
Modesto, CA 95350-4504
Phone (209) 524-6800

2320 N California St
Stockton, CA 95204-5506
Phone (209) 466-2000

923 Kapoho PL
Honolulu, HI 96825-1310
Phone (877) 785-0009

Merit-based Incentive Payment System (MIPS)

Final score
84.08 of 100Reported as group
Quality
81.28
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.28 of 100Reported as group
Quality
62.33
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.32 of 100Reported as group
Quality
91.68
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G40576CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology Current Accepting new patients
Modesto Advanced Diagnostic Imaging Medical Center Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Arizona Diagnostic Radiology Group, LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Diagnostic Radiological Imaging Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Sep 24, 2023 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Aug 1, 2018 Accepting new patients
Stockton Diagnostic Imaging Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Sep 27, 2023 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Jul 1, 2018 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Sep 1, 2023 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Aug 15, 2022 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Aug 1, 2018 Accepting new patients
Santa Rosa Imaging Medical Center Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Sep 23, 2023 Accepting new patients
Radnet Medical Imaging-San Francisco Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Sep 1, 2023 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Palm Desert Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Sep 20, 2022 Accepting new patients
Fresno Imaging Center Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology PastSince Aug 1, 2018 Accepting new patients
South East Alaska Regional Health Consortium Past Accepting new patients
Dameron Hospital Association Past Accepting new patients

Locations (25 of 43)

37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

2301 Bahamas Dr
Bakersfield, CA 93309

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

2601 W Alameda Ave
Ste 101
Burbank, CA 91505
Phone (818) 843-7462

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

801 S Main St
Ste 205
Corona, CA 92882
Phone (951) 351-1025

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

7911 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3950

16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234

6191 N Thesta St
Fresno, CA 93710
Phone (559) 435-7200

6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433

9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314

250 S 12th Ave
Hanford, CA 93230
Phone (559) 295-2450

2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

11360 Mountain View Ave
Ste C
Loma Linda, CA 92354
Phone (909) 478-3300

3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700

3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903

1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843

27168 Newport Rd
Ste B
Menifee, CA 92584
Phone (951) 566-5725

Organizations & group practices 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1871584227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39000 Bob Hope Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703221",
            "country_code": "US",
            "telephone_number": "760-340-3911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "DAVID",
        "middle_name": "W H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G40576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.