LINA LY WONG D.O.
NPI 1417112392
Obstetrics & Gynecology in Rosemead, CA
About Lina Ly Wong D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LINA LY WONG D.O. (NPI 1417112392) is an individual obstetrics & gynecology provider in Rosemead, California, licensed in California (12219) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lina Ly Wong D.o. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Lina Wong reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brea, CA 92821
- Reassigned Medicare billing, California enrollment
- 1,699 clinicians in this Medicare group
Greenville, SC 29607
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Obhg California PC
- 711 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 91770 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 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Lina Wong's NPI number?
The NPI number for Lina Wong is 1417112392. It was assigned to this individual provider in the NPPES registry on July 21, 2008. The provider is also known as Lina Ly Ea D.O..
Where is Lina Wong located?
Lina Wong practices at 3006 San Gabriel Blvd, Rosemead, CA 91770. The listed phone number is (626) 773-8900.
What is Lina Wong's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Lina Wong enrolled in Medicare?
Yes. Lina 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.
Which organizations bill Medicare for Lina Wong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lina Wong reassigns Medicare benefits to 2 organizations: Providence Medical Foundation (Brea, CA) and Obhg California, P.C. (Greenville, SC). 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 Lina 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 Lina Wong was last updated on January 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Lina Ly Wong, D.O. · NPI 1417112392
Obstetrics & Gynecology physician in Rosemead, California. Individual provider, active in the CMS NPPES registry since July 21, 2008.
## Identity
- **NPI:** 1417112392 (Entity type: Individual)
- **Enumerated:** July 21, 2008
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 12219 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3006 SAN GABRIEL BLVD, Rosemead, CA 91770-2536
- **Phone:** (626) 773-8900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **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): Providence Medical Foundation (NPI 1871607762, Brea, CA); Obhg California, P.C. (NPI 1215258892, Greenville, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** January 8, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1417112392) · Data from the CMS NPPES public registry.