Individual provider Active NPI

Amy Wong

  • Foot & Ankle Surgery Podiatrist
  • Oceanside, CA
National Provider Identifier
1942654959
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5540 Issued in CA
Practice address
2119 S El Camino Real
Oceanside, CA 92054-6202
Phone
(760) 757-3070
NPI assigned
Apr 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E5540 CA
Foot & Ankle Surgery Podiatrist 213ES0103X E5540 CA Primary

Addresses

Primary practice location

2119 S El Camino Real
Oceanside, CA 92054-6202

Mailing address

2119 S El Camino Real
Oceanside, CA 92054-6202
Phone (760) 757-3070

Other practice location 1

3231 Waring Ct Ste M
Oceanside, CA 92056-4510
Phone (858) 450-9218

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191118002359 CA Practitioner - Podiatry 9830484948 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Socal Foot Care PCGroup PAC ID 5395110076, 29 clinicians

Practice addresses (Care Compare)

3231 Waring CT
Oceanside, CA 92056-4510
Phone (760) 400-7072

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue90
Removal of skin lesions1-10
Removal of nail tissue34
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5540CAMDFoot & Ankle Surgery Podiatrist
5540CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Socal Foot Care PC Podiatrist CurrentSince Sep 1, 2024 Accepting new patients
James Han, DPM Podiatrist CurrentSince Oct 14, 2019 Accepting new patients
Scripps Health Current Accepting new patients
Socal Foot Care PC Podiatrist CurrentSince Sep 1, 2024 Accepting new patients

Locations

9850 Genesee Ave
Ste 510
La Jolla, CA 92037
Phone (858) 450-9218

39755 Murrieta Hot Springs Rd
Ste D130
Murrieta, CA 92563
Phone (951) 698-4611

28078 Baxter Rd
Ste 424
Murrieta, CA 92563
Phone (951) 679-1020

3231 Waring Ct
Ste M
Oceanside, CA 92056
Phone (760) 400-7072

2119 S El Camino Real
Oceanside, CA 92054
Phone (760) 757-3070

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: awong380000@scrippshlth.medalliesdirect.net
  • Direct secure messaging: amy.wong.1@20181.direct.athenahealth.com
  • Direct secure messaging: awong1236861@direct.llu.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1942654959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 S EL CAMINO REAL",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546202",
            "telephone_number": "760-757-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 S EL CAMINO REAL",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546202",
            "telephone_number": "760-757-3070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3231 Waring Ct Ste M",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920564510",
            "country_code": "US",
            "telephone_number": "858-450-9218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-15",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E5540",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.