Individual provider Active NPI

Fun Wing Wong, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rosemead, CA
National Provider Identifier
1972205144
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95024671 Issued in CA
Practice address
7500 Hellman Ave
Rosemead, CA 91770-2216
Phone
(626) 288-1160
NPI assigned
Mar 20, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95024671 CA Primary

Addresses

Primary practice location

7500 Hellman Ave
Rosemead, CA 91770-2216

Mailing address

7500 Hellman Ave
Rosemead, CA 91770-2216
Phone (626) 288-1160

Other practice location 1

7500 Hellman Ave
Rosemead, CA 91770-2216
Phone (626) 288-1160

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230831001934 CA Practitioner - Nurse Practitioner 6800259318 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vortex Mental HealthGroup PAC ID 1759716673, 17 clinicians
Eugene Rosenman MD la Center for Behavioral Health PCGroup PAC ID 6103347257, 2 clinicians
Moiez Khankhanian, M.D. IncGroup PAC ID 8022205996, 3 clinicians

Practice addresses (Care Compare)

1760 Termino Ave
Suite 100
Long Beach, CA 90804-2182
Phone (310) 552-0146

20201 Sherman Way
Suite 106
Winnetka, CA 91306-3269
Phone (747) 237-2019

7500 Hellman Ave
Rosemead, CA 91770-2216
Phone (626) 813-1222

Hospital & facility affiliations

  • Hollywood Presbyterian Medical Center Hospital, Los Angeles, CA, CCN 050063
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Whittier Hospital Medical Center Hospital, Whittier, CA, CCN 050735
  • L a Downtown Medical Center Hospital, Los Angeles, CA, CCN 050763

Merit-based Incentive Payment System (MIPS)

Final score
92.99 of 100Reported as group
Quality
95
Improvement activities
40
Cost
49.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95024671CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
Addis Medical Group a Medical Corporation CurrentSince Jun 28, 2023 Accepting new patients
Vortex Mental Health CurrentSince Sep 1, 2023 Accepting new patients
Moiez Khankhanian, M.D. Inc CurrentSince Nov 1, 2023 Accepting new patients
Eugene Rosenman MD la Center for Behavioral Health PC CurrentSince Jul 1, 2025 Accepting new patients

Locations

420 S Beverly Dr
Ste 211
Beverly Hills, CA 90212
Phone (310) 552-0146

10802 College Pl
Cerritos, CA 90703
Phone (562) 904-3998

3828 Delmas Ter
Culver City, CA 90232
Phone (310) 202-4745

1760 Termino Ave
Ste 100
Long Beach, CA 90804
Phone (310) 552-0146

1711 W Temple St
Los Angeles, CA 90026
Phone (213) 989-6100

2225 N Perris Blvd
Perris, CA 92571
Phone (951) 657-2135

7500 Hellman Ave
Rosemead, CA 91770
Phone (616) 288-1160

933 S Sunset Ave
Ste 105
West Covina, CA 91790
Phone (626) 813-1222

20201 Sherman Way
Ste 106
Winnetka, CA 91306
Phone (747) 237-2019

19730 Ventura Blvd
Ste 104A
Woodland Hills, CA 91364

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 6

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": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1972205144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 HELLMAN AVE",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702216",
            "telephone_number": "626-288-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 HELLMAN AVE",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702216",
            "telephone_number": "626-288-1160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7500 Hellman Ave",
            "address_purpose": "LOCATION",
            "city": "Rosemead",
            "state": "CA",
            "postal_code": "917702216",
            "country_code": "US",
            "telephone_number": "626-288-1160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "FUN",
        "middle_name": "WING",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95024671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

Verify at the official NPI Registry.