DR. SUZIE MALACA WONG DDS
NPI 1538173554
Dentist - General Practice in Gardena, CA

Active since July 27, 2006Opted out of Medicare · through May 19, 2027
18527 S WESTERN AVE, SUITE 16, GARDENA, CA 90248(310) 532-2774(310) 532-7174 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Suzie Malaca Wong Dds NPPES

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

DR. SUZIE MALACA WONG DDS (NPI 1538173554) is an individual general practice provider in Gardena, California, licensed in California (45997) and active in the NPI registry since July 2006. She has opted out of Medicare through May 19, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1538173554
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SUZIE MALACA WONGCredential: DDS
Location Address18527 S WESTERN AVE, SUITE 16Gardena, CA 90248-3830
Mailing Address18527 S. Western Ave., Suite 16Gardena, CA 90248 · (310) 532-2774 · Fax (310) 532-7174
Fax(310) 532-7174
Sole ProprietorNo
Enumeration DateJuly 27, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1538173554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 45997
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
18527 S WESTERN AVE, Gardena, CA 90248

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Suzie Malaca Wong Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 19, 2023 through May 19, 2027.

Opt-Out Effective DateMay 19, 2023
Opt-Out In Effect ThroughMay 19, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90248 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
18527 S WESTERN AVE, SUITE 16
GARDENA, CA 90248

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 Suzie Wong's NPI number?

The NPI number for Suzie Wong is 1538173554. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Suzie Wong located?

Suzie Wong practices at 18527 S Western Ave Suite 16, Gardena, CA 90248. The listed phone number is (310) 532-2774.

What is Suzie Wong's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Suzie Wong enrolled in Medicare?

No. Suzie Wong has opted out of Medicare through May 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Suzie Wong accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Suzie Wong as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Suzie Wong was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.