KENNETH H WONG M.D.
NPI 1417979626
Obstetrics & Gynecology - Reproductive Endocrinology in Loma Linda, CA

Active since July 24, 2006PECOS Enrolled
11370 ANDERSON ST, STE 3900, LOMA LINDA, CA 92354(909) 558-2806 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth H Wong M.d. NPPES

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

KENNETH H WONG M.D. (NPI 1417979626) is an individual reproductive endocrinology provider in Loma Linda, California, licensed in California (G87370) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417979626
Entity TypeIndividualMale
Primary Taxonomy207VE0102X
Provider Legal NameKENNETH H WONGCredential: M.D.
Location Address11370 ANDERSON ST, STE 3900Loma Linda, CA 92354-3450
Mailing Address54701 File NumberLos Angeles, CA 90074-4701 · (909) 558-3111
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateDecember 3, 2021
NPI 1417979626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · Reproductive EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code207VE0102X
License Licensed in CA · G87370
Definition
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
11370 ANDERSON ST, Loma Linda, CA 92354

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kenneth H Wong 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 92354 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 20

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

Otolaryngology
11370 ANDERSON ST, SUITE 2100
LOMA LINDA, CA 92354
Urology
11370 ANDERSON ST, SUITE 1100
LOMA LINDA, CA 92354
Internal Medicine (Gastroenterology)
11370 ANDERSON ST, STE 3150
LOMA LINDA, CA 92354
Internal Medicine
11370 ANDERSON ST
LOMA LINDA, CA 92354
Psychiatry & Neurology (Neurology)
11370 ANDERSON ST, SUITE 2400
LOMA LINDA, CA 92354
Pediatrics (Neonatal-Perinatal Medicine)
11370 ANDERSON ST, STE B-100
LOMA LINDA, CA 92354
Dermatology (MOHS-Micrographic Surgery)
11370 ANDERSON ST, STE 2600
LOMA LINDA, CA 92354
Pathology (Anatomic Pathology)
11370 ANDERSON ST, STE 2960
LOMA LINDA, CA 92354

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 1417979626. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Kenneth Wong located?

Kenneth Wong practices at 11370 Anderson St Ste 3900, Loma Linda, CA 92354. The listed phone number is (909) 558-2806.

What is Kenneth Wong's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.

Is Kenneth Wong enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kenneth Wong was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.