Active NPI
Nga Wan Wong, M.D.
- Internal Medicine Physician
- Huntington Beach, CA
National Provider Identifier
1912935347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A26311
- Practice address
- 6552 Bolsa Ave
Suite N
Huntington Beach, CA 92647-2656 - Phone
- (714) 898-9635
- Fax
- (714) 898-9637
- NPI assigned
- Jun 28, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A26311 | CA | Primary |
Addresses
Primary practice location
6552 Bolsa Ave
Suite N
Huntington Beach, CA 92647-2656
Mailing address
6181 Gleneagles Cir
Huntington Beach, CA 92648
Phone (714) 960-8245
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0002451 | Medicaid | CA |
Other names 1
- Mrs. Nga Wan Li
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26311 | CA | MD | Pediatric Dentist |
| A26311 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humane Care 7 Days Medical Group, Inc | Past | Accepting new patients | |
| Chinatown Service Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Case Manager/Care Coordinator
- Alhambra, CA
- NPI 1134482326
-
- Nephrology Physician
- Huntington Beach, CA
- NPI 1235368267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235606400000",
"number": "1912935347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6181 GLENEAGLES CIR",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "92648",
"telephone_number": "714-960-8245",
"fax_number": "714-960-8295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6552 BOLSA AVE",
"address_2": "SUITE N",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926472656",
"telephone_number": "714-898-9635",
"fax_number": "714-898-9637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "NGA",
"middle_name": "WAN",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2009-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A26311",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0002451",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NGA",
"last_name": "LI",
"middle_name": "WAN",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.