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GRACE WONG MD INC
NPI 1659648384
Internal Medicine in Burbank, CA

Active since November 23, 2011
3808 W RIVERSIDE DR STE 201, BURBANK, CA 91505(818) 563-1449 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 6, 2018, Oct 18, 2017 (2 updates tracked since 2017).

About Grace Wong Md Inc NPPES

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

GRACE WONG MD INC (NPI 1659648384) is a healthcare organization registered as an internal medicine in Burbank, California and active in the NPI registry since November 2011. The organization maintains a secondary practice location in Burbank and lists Grace Wong, President, as its authorized official.

NPPES Registry Identity

NPI1659648384
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGRACE WONG MD INC
Location Address3808 W RIVERSIDE DR STE 201Burbank, CA 91505-4339
Mailing Address3808 W Riverside Dr Ste 201Burbank, CA 91505-4339 · (626) 347-9074 · Fax (818) 509-5939
Phone(818) 563-1449
Organization SubpartNo
Authorized OfficialGrace WongPresident · (626) 347-9074
Enumeration DateNovember 23, 2011
Last NPPES UpdateDecember 28, 20232 updates tracked since enumeration
NPPES CertifiedDecember 28, 2023
✔ NPI 1659648384 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 · A96700
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.
3808 W RIVERSIDE DR STE 201, Burbank, CA 91505
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Secondary Practice Location 1

Location 13808 W Riverside Dr, Suite 406Burbank, CA 91505-4325 · Phone (626) 347-9074 · Fax (818) 509-5939

Other Identifiers 1

Other1053504902CA · Type 1 Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Wong Md 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 Grace Wong MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Grace Wong, M.D.
Internal Medicine
NPI 1053504902
3808 W RIVERSIDE DR STE 201
Burbank, CA 91505
(818) 563-1449
✔ PECOS✔ Accepts MedicareSame address

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 Grace Wong MD Inc's NPI number?

The NPI number for Grace Wong MD Inc is 1659648384. It was assigned to this organization in the NPPES registry on November 23, 2011.

Where is Grace Wong MD Inc located?

Grace Wong MD Inc is located at 3808 W Riverside Dr Ste 201, Burbank, CA 91505. The listed phone number is (818) 563-1449.

What is Grace Wong MD Inc's specialty?

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

Is Grace Wong MD Inc enrolled in Medicare?

Yes. Grace Wong MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grace Wong MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Grace Wong MD 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 Grace Wong MD Inc was last updated on December 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.