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VIVIAN W WONG M.D.
NPI 1508805011
Pediatrics in Vista, CA

Active since June 06, 2006PECOS Enrolled
1000 VALE TERRACE DR, (VISTA COMMUNITY CLINIC), VISTA, CA 92084(760) 631-5000 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Vivian W Wong M.d. NPPES

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

VIVIAN W WONG M.D. (NPI 1508805011) is an individual pediatrics provider in Vista, California, licensed in California (A67528) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508805011
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameVIVIAN W WONGCredential: M.D.
Location Address1000 VALE TERRACE DR, (VISTA COMMUNITY CLINIC)Vista, CA 92084-5218
Mailing Address6007 Firwood RowLa Jolla, CA 92037-0922 · (858) 729-0165 · Fax (858) 729-0165
Phone(760) 631-5000
Sole ProprietorNo
Enumeration DateJune 6, 2006
Last NPPES UpdateNovember 30, 2021
✔ NPI 1508805011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A67528
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1000 VALE TERRACE DR, Vista, CA 92084
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vivian W 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.

Medicare Billing Reassignment

Medicare enrollment records show Vivian Wong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
30 mi
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000

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 92084 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

CHRISTINE DOUGHERTY LCSW
Social Worker (Clinical)
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 631-5000
PATRICIA R HOLLAND
Nurse Practitioner (Pediatrics)
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 631-5000
DIANA J MENDOZA
Case Manager/Care Coordinator
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 407-1220
MS. JESSICA HERNANDEZ
Nurse Practitioner (Family)
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 631-5000
ELIZABETH KETCHEL APCC
Counselor (Mental Health)
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 631-5000
INGRID DEKKERS-O'HARE NP
Nurse Practitioner
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 631-5000
LEILA SHABANIAN M.D.
Hospitalist
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 631-5000
PAMELA N KINGERY NP
Nurse Practitioner (Women's Health)
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 407-1220

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 Vivian Wong's NPI number?

The NPI number for Vivian Wong is 1508805011. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Vivian Wong located?

Vivian Wong practices at 1000 Vale Terrace Dr (vista Community Clinic), Vista, CA 92084. The listed phone number is (760) 631-5000.

What is Vivian Wong's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Vivian Wong enrolled in Medicare?

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

Which organization bills Medicare for Vivian Wong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vivian Wong reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The 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 Vivian 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 Vivian Wong was last updated on November 30, 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.