EMILY WONG M.D.
NPI 1164714614
Pediatrics in Loma Linda, CA

Active since May 03, 2011PECOS Enrolled
11234 ANDERSON ST, LOMA LINDA, CA 92354(909) 558-4000 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 26, 2023, Jul 11, 2017, Jul 7, 2017 (3 updates tracked since 2017).

About Emily Wong M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMILY WONG M.D. (NPI 1164714614) is an individual pediatrics provider in Loma Linda, California, licensed in California (A134678) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164714614
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameEMILY WONGCredential: M.D.
Location Address11234 ANDERSON STLoma Linda, CA 92354-2804
Mailing Address54701 File NumberLos Angeles, CA 90074-4701 · (909) 651-4300
Sole ProprietorNo
Enumeration DateMay 3, 2011
Last NPPES UpdateMay 26, 20233 updates tracked since enumeration
✔ NPI 1164714614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in CA · A134678✔ Licensed in AZ · 48922
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
11234 ANDERSON ST, Loma Linda, CA 92354

Other Identifiers 1

Medicaid900852AZ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Wong M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Emily Wong reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anatomic Pathology & Clinical Pathology
11234 ANDERSON ST
Loma Linda, CA 92354
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
Health Maintenance Organization
9961 SIERRA AVE
Fontana, CA 92335
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1952333460 (California)
  • 5,228 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
General Practice
11234 ANDERSON ST
LOMA LINDA, CA 92354
Preventive Medicine (Occupational Medicine)
11234 ANDERSON ST
LOMA LINDA, CA 92354
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92354
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92354
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST
LOMA LINDA, CA 92354

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emily Wong's NPI number?

The NPI number for Emily Wong is 1164714614. It was assigned to this individual provider in the NPPES registry on May 3, 2011.

Where is Emily Wong located?

Emily Wong practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 558-4000.

What is Emily Wong's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Emily Wong enrolled in Medicare?

Yes. Emily Wong is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Emily Wong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Wong reassigns Medicare benefits to 2 organizations: Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA) and Southern California Permanente Medical Group (Fontana, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emily Wong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Emily Wong was last updated on May 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.