Active NPI
Yiu Sing Eugene Wong, PA-C
- Physician Assistant
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 58719
- Practice address
- 199 W Portal Ave
San Francisco, CA 94127-1305 - Phone
- (415) 821-8798
- Fax
- (415) 242-6244
- NPI assigned
- Mar 30, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 58719 | CA | Primary |
Addresses
Primary practice location
199 W Portal Ave
San Francisco, CA 94127-1305
Mailing address
3400 Data Dr
Rancho Cordova, CA 95670-7956
Other practice location 1
36 1st Ave
Boston, MA 02129-4557
Phone (617) 726-2947
Other names 1
- Eugene Wong
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11560 W Pico Blvd
Los Angeles, CA 90064-1520
Phone (310) 477-8285
2090 Westwood Blvd
Los Angeles, CA 90025-6329
Phone (213) 814-4070
2300 Wilshire Blvd
Suite 104
Santa Monica, CA 90403-5863
Phone (424) 416-7900
26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225
28900 S Western Ave
Rancho Palos Verdes, CA 90275-0805
Phone (424) 702-0500
5101 Lakewood Blvd
Lakewood, CA 90712-2413
Phone (562) 800-3883
8985 Venice Blvd
Suite a 3B
Los Angeles, CA 90034-3344
Phone (424) 502-1020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58719 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nes Western Group, a Professional Corporation | Current | Accepting new patients | |
| Carbon Health Medical Group of California PC | Current | Accepting new patients | |
| California Pacific Medical Group, Inc. | Past | Accepting new patients | |
| Brigham and Womens Physicians Organization Inc | Past | Accepting new patients | |
| Professional Portable Radiologic Services Inc. | Past | Accepting new patients |
Locations
3195 Harbor Blvd
Ste 3
Costa Mesa, CA 92626
Phone (714) 263-0227
10165 Valley View St
Cypress, CA 90630
Phone (657) 348-2427
14443 Culver Dr
#14443A
Irvine, CA 92604
Phone (949) 767-8173
1040 W Imperial Hwy
Ste D
La Habra, CA 90631
Phone (714) 451-1072
3851 Katella Ave
Ste 100
Los Alamitos, CA 90720
Phone (562) 424-5450
858 N Rose Dr
Ste C2
Placentia, CA 92870
Phone (714) 792-3736
465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886
1998 Market St
San Francisco, CA 94102
Phone (415) 651-3558
2944 Tapo Canyon Rd
Ste A
Simi Valley, CA 93063
Phone (805) 306-5990
Interoperability endpoints
- eugene.wong.1@13869.direct.athenahealth.com
Organizations & group practices 11
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.
-
- Urgent Care Clinic/Center
- Calabasas, CA
- NPI 1588901532
-
- Emergency Medicine Physician
- Porterville, CA
- NPI 1487125019
-
- Urgent Care Clinic/Center
- Berkeley, CA
- NPI 1417294232
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- Emergency Medicine Physician
- Tustin, CA
- NPI 1639752553
-
- Specialist
- San Francisco, CA
- NPI 1992027593
-
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1922124866
-
- Urgent Care Clinic/Center
- Pasadena, CA
- NPI 1255957205
-
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1275002453
-
- Diagnostic Radiology Physician
- Jamaica Plain, MA
- NPI 1578549507
-
- Physiological Laboratory
- Houston, TX
- NPI 1457087991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636502400000",
"number": "1912535451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 W PORTAL AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941271305",
"telephone_number": "415-821-8798",
"fax_number": "415-242-6244"
}
],
"practiceLocations": [
{
"address_1": "36 1st Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021294557",
"country_code": "US",
"telephone_number": "617-726-2947",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WONG",
"first_name": "YIU SING EUGENE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-30",
"last_updated": "2021-11-10",
"certification_date": "2021-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "58719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EUGENE",
"last_name": "WONG",
"credential": "PA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.