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DR. IDA C WONG-SEFIDAN M.D.
NPI 1285830430
Internal Medicine in San Diego, CA

Active since June 25, 2007PECOS Enrolled
402 DICKINSON ST, MPF 3-320, SAN DIEGO, CA 92103(619) 543-1849 Get Directions Write a Review

NPPES record last updated: June 7, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ida C Wong-sefidan M.d. NPPES

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

DR. IDA C WONG-SEFIDAN M.D. (NPI 1285830430) is an individual internal medicine provider in San Diego, California, licensed in California (A108162) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285830430
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. IDA C WONG-SEFIDANCredential: M.D.
Location Address402 DICKINSON ST, MPF 3-320San Diego, CA 92103-6902
Mailing Address4661 Gesner PlSan Diego, CA 92117-6743 · (917) 232-4021
Phone(619) 543-1849
Sole ProprietorNo
Enumeration DateJune 25, 2007
Last NPPES UpdateJune 7, 2010
✔ NPI 1285830430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A108162
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
402 DICKINSON ST, San Diego, CA 92103
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Other Names 1

Former Name (1)Dr. Ida C Wong M.d.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ida C Wong-sefidan 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
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 15

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

DR. BAHRAM KHADIVI M.D.
Internal Medicine
402 DICKINSON ST, MULTIPURPOSE FACILITY, SUITE 380
SAN DIEGO, CA 92103
San Diego County (619) 543-6268
NICHOLAS PENNER M.D.
Student in an Organized Health Care Education/Training Program
402 DICKINSON ST, SUITE 380
SAN DIEGO, CA 92103
San Diego County (619) 543-6529
HEATHER ABRAHIM
Registered Nurse
402 DICKINSON ST
SAN DIEGO, CA 92103
San Diego County (858) 869-5289
DR. STERLING MYLES DUBIN M.D.
Internal Medicine (Gastroenterology)
402 DICKINSON ST, SUITE 380
SAN DIEGO, CA 92103
San Diego County (619) 543-3973
SOPHIE MARIE DICKINSON
Student in an Organized Health Care Education/Training Program
402 DICKINSON ST
SAN DIEGO, CA 92103
San Diego County (619) 543-8254
DR. SURESH BABU RANGARAJAN M.D., MSC
Internal Medicine
402 DICKINSON ST, MULTIPURPOSE FACILITY, SUITE 380
SAN DIEGO, CA 92103
San Diego County (619) 543-6268
DR. ASHMI DOSHI M.D
Hospitalist
402 DICKINSON ST, SUITE 380
SAN DIEGO, CA 92103
San Diego County (619) 543-6287
DR. TIFFANY NICOLE TANAKA M.D.
Internal Medicine (Hematology & Oncology)
402 DICKINSON ST, SUITE 380
SAN DIEGO, CA 92103
San Diego County (619) 290-7497

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 Ida Wong-sefidan's NPI number?

The NPI number for Ida Wong-sefidan is 1285830430. It was assigned to this individual provider in the NPPES registry on June 25, 2007. The provider is also known as Dr. Ida C Wong M.D..

Where is Ida Wong-sefidan located?

Ida Wong-sefidan practices at 402 Dickinson St Mpf 3-320, San Diego, CA 92103. The listed phone number is (619) 543-1849.

What is Ida Wong-sefidan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ida Wong-sefidan enrolled in Medicare?

Yes. Ida Wong-sefidan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ida Wong-sefidan was last updated on June 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.