SHI YIN WONG MD, A MEDICAL CORPORATION
NPI 1619029964
General Practice in Los Angeles, CA
About Shi Yin Wong Md, A Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHI YIN WONG MD, A MEDICAL CORPORATION (NPI 1619029964) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since January 2007. The organization lists Shi Yin Wong, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 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)
Shi Yin Wong Md, A Medical Corporation 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 Shi Yin Wong MD, A Medical Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Shi Yin Wong MD, A Medical Corporation's NPI number?
The NPI number for Shi Yin Wong MD, A Medical Corporation is 1619029964. It was assigned to this organization in the NPPES registry on January 17, 2007.
Where is Shi Yin Wong MD, A Medical Corporation located?
Shi Yin Wong MD, A Medical Corporation is located at 407 W College St, Los Angeles, CA 90012. The listed phone number is (213) 626-3589.
What is Shi Yin Wong MD, A Medical Corporation's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Shi Yin Wong MD, A Medical Corporation enrolled in Medicare?
Yes. Shi Yin Wong MD, A Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shi Yin Wong MD, A Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Shi Yin Wong MD, A Medical Corporation. 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 Shi Yin Wong MD, A Medical Corporation was last updated on November 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Shi Yin Wong Md, A Medical Corporation · NPI 1619029964
General Practice organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since January 17, 2007.
## Identity
- **NPI:** 1619029964 (Entity type: Organization)
- **Enumerated:** January 17, 2007
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Shi Yin Wong, OWNER
## Practice location
- **Address:** 407 W COLLEGE ST, Los Angeles, CA 90012-2313
- **Phone:** (213) 626-3589 · **Fax:** (213) 626-7868
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (General Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 16, 2010
- **Other identifiers:** Medicare ID-Type Unspecified W15064 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1619029964) · Data from the CMS NPPES public registry.