Organization Active NPI

Dorothy L. P. Wong, MD, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Yuma, AZ
National Provider Identifier
1912191404
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
22877 Issued in AZ
Legal business name
DOROTHY L. P. WONG, MD, LLC
Practice address
1025 W 24TH St
Suite 26
Yuma, AZ 85364-8366
Phone
(928) 344-5455
Fax
(928) 344-5465
NPI assigned
Aug 28, 2007
Last updated
Jan 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

Name
Dr. Dorothy Lai Ping Wong, M.D.NPI 1356315865
Title
President
Phone
(928) 344-5455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 22877 AZ Primary

Addresses

Primary practice location

1025 W 24TH St
Suite 26
Yuma, AZ 85364-8366

Mailing address

1025 W 24TH St
Suite 26
Yuma, AZ 85364-8366
Phone (928) 344-5455

Other identifiers 2

IdentifierTypeStateIssuer
330085MedicaidAZ
110180845OtherAZRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1912191404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 W 24TH ST",
            "address_2": "SUITE 26",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648366",
            "telephone_number": "928-344-5455",
            "fax_number": "928-344-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W 24TH ST",
            "address_2": "SUITE 26",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648366",
            "telephone_number": "928-344-5455",
            "fax_number": "928-344-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOROTHY L. P. WONG, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "LAI PING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-344-5455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "22877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330085",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110180845",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.