KENNETH KAN TIN WONG MD
NPI 1184628695
Radiology - Radiation Oncology in Los Angeles, CA
About Kenneth Kan Tin Wong Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH KAN TIN WONG MD (NPI 1184628695) is an individual radiation oncology provider in Los Angeles, California, licensed in California (A70448) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kenneth Kan Tin Wong Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kenneth Wong reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90033
- Reassigned Medicare billing, California enrollment
- 2,445 clinicians in this Medicare group
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
- 1,281 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 90089 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
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 Kenneth Wong's NPI number?
The NPI number for Kenneth Wong is 1184628695. It was assigned to this individual provider in the NPPES registry on June 13, 2005.
Where is Kenneth Wong located?
Kenneth Wong practices at 1441 Eastlake Ave, Los Angeles, CA 90089. The listed phone number is (323) 865-3050.
What is Kenneth Wong's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.
Is Kenneth Wong enrolled in Medicare?
Yes. Kenneth Wong is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kenneth Wong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Wong reassigns Medicare benefits to 2 organizations: Usc Care Medical Group, Inc (Los Angeles, CA) and Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, 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 Kenneth 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 Kenneth Wong was last updated on March 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Kenneth Kan Tin Wong, MD · NPI 1184628695
Radiation Oncology physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since June 13, 2005.
## Identity
- **NPI:** 1184628695 (Entity type: Individual)
- **Enumerated:** June 13, 2005
- **Primary specialty:** Radiology - Radiation Oncology · taxonomy 2085R0001X
- **State license:** A70448 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1441 EASTLAKE AVE, Los Angeles, CA 90089-0112
- **Phone:** (323) 865-3050
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Usc Care Medical Group, Inc (NPI 1902846306, Los Angeles, CA); Children's Hospital Los Angeles Medical Group, Inc. (NPI 1265530653, Los Angeles, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 8, 2016
- **Other identifiers:** Medicare UPIN I07929
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Source: [NPI Profile](https://npiprofile.com/npi/1184628695) · Data from the CMS NPPES public registry.