THAI ON WONG D.O.
NPI 1427318955
Surgery in Long Beach, CA

Active since May 17, 2012PECOS Enrolled
1045 ATLANTIC AVE STE 712, LONG BEACH, CA 90813(562) 491-4879(562) 491-7987 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 24, 2017 (3 updates tracked since 2017).

About Thai On Wong D.o. NPPES

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

THAI ON WONG D.O. (NPI 1427318955) is an individual surgery provider in Long Beach, California, licensed in California (20A15557) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Oakland Gardens.

NPPES Registry Identity

NPI1427318955
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameTHAI ON WONGCredential: D.O.
Location Address1045 ATLANTIC AVE STE 712Long Beach, CA 90813-3411
Mailing Address1045 Atlantic Ave, Suite 712Long Beach, CA 90813-3411 · (562) 491-4879 · Fax (562) 491-7987
Fax(562) 491-7987
Sole ProprietorYes
Enumeration DateMay 17, 2012
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1427318955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in CA · 20A15557
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1045 ATLANTIC AVE STE 712, Long Beach, CA 90813

Secondary Practice Location 1

Location 16117 Cloverdale BlvdOakland Gardens, NY 11364-2431 · Phone (718) 224-0210

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Thai On Wong D.o. 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 90813 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.

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 Thai Wong's NPI number?

The NPI number for Thai Wong is 1427318955. It was assigned to this individual provider in the NPPES registry on May 17, 2012.

Where is Thai Wong located?

Thai Wong practices at 1045 Atlantic Ave Ste 712, Long Beach, CA 90813. The listed phone number is (562) 491-4879.

What is Thai Wong's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Thai Wong enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Thai Wong was last updated on July 21, 2022. 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.