KELLY WONG D O INC
NPI 1427361617
Clinic/Center - Primary Care in Monterey Park, CA
About Kelly Wong D O Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY WONG D O INC (NPI 1427361617) is a healthcare organization registered as a primary care in Monterey Park, California and active in the NPI registry since July 2010. The organization maintains a secondary practice location in Los Angeles and lists Kelly Wong, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Wong D O Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kelly Wong D O Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Monterey Park, CA 91754
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kelly Wong Do Inc's NPI number?
The NPI number for Kelly Wong Do Inc is 1427361617. It was assigned to this organization in the NPPES registry on July 16, 2010. The provider is also known as Kelly Wong D O Inc.
Where is Kelly Wong Do Inc located?
Kelly Wong Do Inc is located at 500 N Garfield Ave Ste 105, Monterey Park, CA 91754. The listed phone number is (626) 288-3828.
What is Kelly Wong Do Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Kelly Wong Do Inc enrolled in Medicare?
Yes. Kelly Wong Do Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kelly Wong Do Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Kelly Wong Do Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kelly Wong Do Inc was last updated on February 28, 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.
# Kelly Wong D O Inc · NPI 1427361617
Primary Care organization in Monterey Park, California. Organization record, active in the CMS NPPES registry since July 16, 2010.
## Identity
- **NPI:** 1427361617 (Entity type: Organization)
- **Enumerated:** July 16, 2010
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Kelly Wong Do Inc
- **Organization subpart:** No
- **Authorized official:** Kelly Wong, PRESIDENT
## Practice location
- **Address:** 500 N GARFIELD AVE STE 105, Monterey Park, CA 91754-1242
- **Phone:** (626) 288-3828 · **Fax:** (626) 573-8513
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 28, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1427361617) · Data from the CMS NPPES public registry.