MITCHELL DAVID WONG MD
NPI 1457371585
Internal Medicine in Los Angeles, CA

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
200 MEDICAL PLAZA, #365,530,420,120, LOS ANGELES, CA 90095(310) 794-9718 Get Directions Write a Review

NPPES record last updated: December 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mitchell David Wong Md NPPES

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

MITCHELL DAVID WONG MD (NPI 1457371585) is an individual internal medicine provider in Los Angeles, California, licensed in California (A62654) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (1994).

NPPES Registry Identity

NPI1457371585
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMITCHELL DAVID WONGCredential: MD
Location Address200 MEDICAL PLAZA, #365,530,420,120Los Angeles, CA 90095-3075
Mailing Address5767 W Century Blvd, Suite 200Los Angeles, CA 90045-5632 · (310) 301-8707 · Fax (310) 301-8751
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1994
Enumeration DateJuly 20, 2006
Last NPPES UpdateDecember 23, 2009
NPI 1457371585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A62654
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
200 MEDICAL PLAZA, Los Angeles, CA 90095

Other Identifiers 3

Medicare UPING55410CA
Medicaid00A626540CA
Medicare PINWA62654ACA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mitchell David Wong Md 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.

PECOS PAC ID840333902
PECOS Enrollment IDI20100211000478
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
110 services79 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
50 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Internal Medicine (Nephrology)
200 MEDICAL PLAZA, #365,420,120,530
LOS ANGELES, CA 90095
Internal Medicine
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095
Internal Medicine
200 MEDICAL PLAZA, #214,365,530,420,120
LOS ANGELES, CA 90095
Plastic Surgery
200 MEDICAL PLAZA, #465
LOS ANGELES, CA 90095
Internal Medicine (Rheumatology)
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095
Otolaryngology
200 MEDICAL PLAZA, #550
LOS ANGELES, CA 90095
Internal Medicine (Nephrology)
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095
Internal Medicine (Allergy & Immunology)
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095

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 Mitchell Wong's NPI number?

The NPI number for Mitchell Wong is 1457371585. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Mitchell Wong located?

Mitchell Wong practices at 200 Medical Plaza #365,530,420,120, Los Angeles, CA 90095. The listed phone number is (310) 794-9718.

What is Mitchell Wong's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mitchell Wong enrolled in Medicare?

Yes. Mitchell 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.

When was this NPI record last updated?

The NPPES record for Mitchell Wong was last updated on December 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.