Thomas Wan Chong, MD
Individual provider Active NPI Family Medicine Physician · La Puente, CA
NPI 1912484148 · NPPES record last updated Sep 15, 2025
Key facts
- NPI
- 1912484148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A165528 (CA)
- Practice address
- 13742 Amar Rd
La Puente, CA 91746-1683 - Phone
- (626) 919-0400
- NPI assigned
- Jul 20, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 5
Medicare Care Compare profile
- 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 Group
Practice addresses (Care Compare)
401 N Brand Blvd
Glendale, CA 91203-4427
Phone (818) 301-9754
Hospital & facility affiliations
- Care Home Health Inc
- Hde Home Health Care Inc
- Cipher Home Health
- Oceanside Home Health, Inc.
- Serene Home Health, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200923002681 | CA | Practitioner - Family Practice | 1153740212 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A165528 | CA | MD | Family Medicine Physician |
Practice roles (5 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central City Community Health Center Inc | 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 |
| Central City Community Health Center Inc | General Practice | Current | Accepting new patients |
| Kevin Pham, M.D., 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
Ste B1
La Puente, CA 91746
13742 Amar Rd
La Puente, CA 91746
Phone (626) 652-0790
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/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A165528 | CA | Yes |
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
Other providers in La Puente, CA
- Shu Chen Chen
- Tiffany CHI
- Joshua Chia
- Dooyong Choi
- Andrew G Chong
- David Chou
- Lin Liu Chou
- Citrus Valley Family Medical Clinic, Inc.
- Clinica Medica del Sol Group Inc
- Clinica Medica Mi Salud, Inc.
All providers in La Puente, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.