Active NPI
Thomas Wan Chong, MD
- Family Medicine Physician
- La Puente, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A165528
- Practice address
- 13742 Amar Rd
La Puente, CA 91746-1683 - Phone
- (626) 919-0400
- NPI assigned
- Jul 20, 2018
- Last updated
- Sep 15, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A165528 | CA | Primary |
Addresses
Primary practice location
13742 Amar Rd
La Puente, CA 91746-1683
Mailing address
855 N Lark Ellen Ave Ste L
West Covina, CA 91791-1099
Phone (626) 322-9779
Other practice location 1
4126 Maine Ave
Baldwin Park, CA 91706-3306
Phone (626) 653-0800
Other practice location 2
855 N Lark Ellen Ave Ste L
West Covina, CA 91791-1099
Phone (626) 322-9779
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
401 N Brand Blvd
Glendale, CA 91203-4427
Phone (818) 301-9754
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A165528 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central City Community Health Center Inc | Current | Accepting new patients | |
| Central City Community Health Center Inc | General Practice | Current | Accepting new patients |
| Central City Community Health Center Inc | Current | Accepting new patients | |
| Integral Health Clinic West Covina | Family Medicine | Current | Accepting new patients |
| Kevin Pham, M.D., Inc | Past | Accepting new patients | |
| Central City Community Health Center Inc | Past | Accepting new patients |
Locations
4126 Maine Ave
Baldwin Park, CA 91706
Phone (626) 653-0800
10050 Garvey Ave
Ste 111
El Monte, CA 91733
Phone (626) 652-0790
13742 Amar Rd
La Puente, CA 91746
Phone (626) 652-0790
13742 Amar Rd
Ste B1
La Puente, CA 91746
2019 Saturn St
Monterey Park, CA 91755
Phone (323) 724-0019
855 N Lark Ellen Ave
Ste L
West Covina, CA 91791
Phone (626) 322-9779
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 7
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.
-
- Clinic/Center
- Glendale, CA
- NPI 1306651559
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1235283094
General Practice
-
- Adult Medicine Physician
- West Covina, CA
- NPI 1972498145
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Upland, CA
- NPI 1174996318
-
- Federally Qualified Health Center (FQHC)
- Baldwin Park, CA
- NPI 1669881926
-
- Federally Qualified Health Center (FQHC)
- El Monte, CA
- NPI 1972912236
-
- Nephrology Physician
- Orange, CA
- NPI 1578740775
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Sun Valley, CA
- NPI 1508305756
-
- Home Health Agency
- Burbank, CA
- NPI 1093327819
-
- Home Health Agency
- Glendale, CA
- NPI 1598365793
-
- Home Health Agency
- Van Nuys, CA
- NPI 1336814144
-
- Home Health Agency
- Van Nuys, CA
- NPI 1891236097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757894400000",
"number": "1912484148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 N LARK ELLEN AVE STE L",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917911099",
"telephone_number": "626-322-9779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13742 AMAR RD",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917461683",
"telephone_number": "626-919-0400"
}
],
"practiceLocations": [
{
"address_1": "4126 Maine Ave",
"address_purpose": "LOCATION",
"city": "Baldwin Park",
"state": "CA",
"postal_code": "917063306",
"country_code": "US",
"telephone_number": "626-653-0800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "855 N Lark Ellen Ave Ste L",
"address_purpose": "LOCATION",
"city": "West Covina",
"state": "CA",
"postal_code": "917911099",
"country_code": "US",
"telephone_number": "626-322-9779",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHONG",
"first_name": "THOMAS",
"middle_name": "WAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-20",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A165528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Puente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.