KENNETH H WONG M.D.
NPI 1417979626
Obstetrics & Gynecology - Reproductive Endocrinology in Loma Linda, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kenneth H Wong M.d. 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.
Loma Linda, CA 92354
- Reassigned Medicare billing, California enrollment
- 2,584 clinicians in this Medicare group
Fontana, CA 92335
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1952333460 (California)
- 5,228 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 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.
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.
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
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.
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: Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA) and Southern California Permanente Medical Group (Fontana, 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 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.
# Kenneth H Wong, M.D. · NPI 1417979626
Reproductive Endocrinology physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since July 24, 2006.
## Identity
- **NPI:** 1417979626 (Entity type: Individual)
- **Enumerated:** July 24, 2006
- **Primary specialty:** Obstetrics & Gynecology - Reproductive Endocrinology · taxonomy 207VE0102X
- **State license:** G87370 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11370 ANDERSON ST, STE 3900, Loma Linda, CA 92354-3450
- **Phone:** (909) 558-2806
## 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): Faculty Physicians And Surgeons Of Llusm (NPI 1194775122, Loma Linda, CA); Southern California Permanente Medical Group (NPI 1689606196, Fontana, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 3, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1417979626) · Data from the CMS NPPES public registry.