Individual provider Active NPI

Thomas Wan Chong, MD

  • Family Medicine Physician
  • La Puente, CA
National Provider Identifier
1912484148
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A165528 Issued in CA
Practice address
13742 Amar Rd
La Puente, CA 91746-1683
Phone
(626) 919-0400
NPI assigned
Jul 20, 2018
Last updated
Sep 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200923002681 CA Practitioner - Family Practice 1153740212 Reassigns benefits to 3 organizations

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
Iaso Medical Professional GroupGroup PAC ID 2365960275, 4 clinicians

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

LicenseStateTypeSpecialty
A165528CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central City Community Health Center Inc CurrentSince Dec 23, 2024 Accepting new patients
Central City Community Health Center Inc General Practice Current Accepting new patients
Central City Community Health Center Inc CurrentSince Dec 23, 2024 Accepting new patients
Integral Health Clinic West Covina Family Medicine CurrentSince Sep 21, 2025 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

  • FHIR API: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.