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IAN WONG
NPI 1174152128
Pediatrics in San Diego, CA

Active since April 02, 2020PECOS Enrolled
11943 EL CAMINO REAL STE 210, SAN DIEGO, CA 92130(858) 793-1011(858) 793-1035 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 27, 2024, Apr 2, 2020 (2 updates tracked since 2020).

About Ian Wong NPPES

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

IAN WONG (NPI 1174152128) is an individual pediatrics provider in San Diego, California, licensed in California (20A22519) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174152128
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameIAN WONG
Location Address11943 EL CAMINO REAL STE 210San Diego, CA 92130-2597
Mailing Address11943 El Camino Real Ste 210San Diego, CA 92130-2597
Phone(858) 793-1011
Fax(858) 793-1035
Sole ProprietorNo
Enumeration DateApril 2, 2020
Last NPPES UpdateSeptember 27, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
✔ NPI 1174152128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · 20A22519
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.
11943 EL CAMINO REAL STE 210, San Diego, CA 92130
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ian Wong 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92130 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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

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

DR. ADAM CLAYTON STURDAVANT M.D.
Pediatrics
11943 EL CAMINO REAL STE 210
SAN DIEGO, CA 92130
San Diego County (858) 793-1011

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 Ian Wong's NPI number?

The NPI number for Ian Wong is 1174152128. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Ian Wong located?

Ian Wong practices at 11943 El Camino Real Ste 210, San Diego, CA 92130. The listed phone number is (858) 793-1011.

What is Ian Wong's specialty?

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

Is Ian Wong enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ian Wong was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.