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KAM CHAK WONG PA
NPI 1255623542
Physician Assistant in Pomona, CA

Active since May 05, 2011PECOS EnrolledAccepts Medicare Assignment
260 E HOLT AVE, POMONA, CA 91767(909) 629-8088(818) 587-2493 Get Directions Write a Review

NPPES record last updated: May 5, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kam Chak Wong Pa NPPES

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

KAM CHAK WONG PA (NPI 1255623542) is an individual physician assistant in Pomona, California, licensed in California (PA21541) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1255623542
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKAM CHAK WONGCredential: PA
Location Address260 E HOLT AVEPomona, CA 91767-5426
Mailing Address525 N Garfield AveMonterey Park, CA 91754-1202 · (909) 634-3175 · Fax (818) 587-2493
Phone(909) 629-8088
Fax(818) 587-2493
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateMay 5, 2011
✔ NPI 1255623542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA21541
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
260 E HOLT AVE, Pomona, CA 91767
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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 and accepts Medicare assignment

Kam Chak Wong Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557533262
PECOS Enrollment IDI20110930000164
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
44 services42 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
14 services13 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91767 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 3

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

LIJUAN ZHAO FNP
Nurse Practitioner (Family)
260 E HOLT AVE
POMONA, CA 91767
Los Angeles County (909) 629-8088
TEDMAN VUONG
Nurse Practitioner
260 E HOLT AVE
POMONA, CA 91767
Los Angeles County (909) 629-8088
MISS MERDINA MUSTEDANAGIC PA-C
Physician Assistant
260 E HOLT AVE
POMONA, CA 91767
Los Angeles County (909) 629-8088

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 Kam Wong's NPI number?

The NPI number for Kam Wong is 1255623542. It was assigned to this individual provider in the NPPES registry on May 5, 2011.

Where is Kam Wong located?

Kam Wong practices at 260 E Holt Ave, Pomona, CA 91767. The listed phone number is (909) 629-8088.

What is Kam Wong's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kam Wong enrolled in Medicare?

Yes. Kam Wong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kam Wong was last updated on May 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.