Individual provider Active NPI

Kristin Fung Mei Wong, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1972946135
Registry record updated Nov 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A155502 Issued in CA
Practice address
1044 Taraval St
San Francisco, CA 94116-2423
Phone
(415) 548-2225
Fax
(415) 855-8946
NPI assigned
Apr 8, 2013
Last updated
Nov 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A155502 CA Primary

Addresses

Primary practice location

1044 Taraval St
San Francisco, CA 94116-2423

Mailing address

1044 Taraval St
San Francisco, CA 94116-2423
Phone (415) 548-2225

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190104002981 CA Practitioner - Internal Medicine 3274811583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1044 Taraval St
San Francisco, CA 94116-2423
Phone (415) 548-2225

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A155502CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kristin F Wong MD a Professional Corporation Single Specialty CurrentSince Jul 15, 2021 Accepting new patients
Albany Med Health System Past Accepting new patients
Melissa C. Wong, MD, Inc Single Specialty PastSince Sep 1, 2022 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

1044 Taraval St
San Francisco, CA 94116
Phone (415) 548-2225

1842 Noriega St
San Francisco, CA 94122
Phone (415) 566-8799

Interoperability endpoints

  • FHIR API: https://epicproxy.et1299.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: kristin.wong@9642727505924.direct.elationemr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731801600000",
    "number": "1972946135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 TARAVAL ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941162423",
            "telephone_number": "415-548-2225",
            "fax_number": "415-855-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 TARAVAL ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941162423",
            "telephone_number": "415-548-2225",
            "fax_number": "415-855-8946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "KRISTIN",
        "middle_name": "FUNG MEI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-08",
        "last_updated": "2024-11-17",
        "certification_date": "2024-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A155502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.