CALVIN K. WONG, MD, PC
NPI 1679790232
Family Medicine in San Diego, CA

Active since April 18, 2007
5471 KEARNY VILLA RD, SUITE 200, SAN DIEGO, CA 92123(858) 571-0606(858) 571-1933 Get Directions Write a Review

NPPES record last updated: April 19, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Calvin K. Wong, Md, Pc NPPES

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

CALVIN K. WONG, MD, PC (NPI 1679790232) is a healthcare organization registered as a family medicine in San Diego, California and active in the NPI registry since April 2007. The organization lists Calvin K. Wong, President, as its authorized official.

NPPES Registry Identity

NPI1679790232
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCALVIN K. WONG, MD, PC
Location Address5471 KEARNY VILLA RD, SUITE 200San Diego, CA 92123-1143
Mailing Address5471 Kearny Villa Rd, Suite 200San Diego, CA 92123-1143 · (858) 571-0606 · Fax (858) 571-1933
Fax(858) 571-1933
Organization SubpartNo
Authorized OfficialCalvin K. WongPresident · (858) 571-0606
Enumeration DateApril 18, 2007
Last NPPES UpdateApril 19, 2010
✔ NPI 1679790232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G79819
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5471 KEARNY VILLA RD, San Diego, CA 92123

Other Identifiers 4

OtherWG79819CMedicare Provider Id
Medicare UPING60140
OtherG79819Medicare Group Number
OtherG79819Medicare Ptan

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Calvin K. Wong, Md, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20070730000467Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Calvin K. Wong, MD, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1962400531
444 WEST C STREET SUITE 185
San Diego, CA 92101
(619) 232-6262
✔ PECOS9.5 mi

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 Calvin K. Wong, MD, PC's NPI number?

The NPI number for Calvin K. Wong, MD, PC is 1679790232. It was assigned to this organization in the NPPES registry on April 18, 2007.

Where is Calvin K. Wong, MD, PC located?

Calvin K. Wong, MD, PC is located at 5471 Kearny Villa Rd Suite 200, San Diego, CA 92123. The listed phone number is (858) 571-0606.

What is Calvin K. Wong, MD, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Calvin K. Wong, MD, PC enrolled in Medicare?

Yes. Calvin K. Wong, MD, PC is registered in the Medicare PECOS enrollment system.

When is Calvin K. Wong, MD, PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Calvin K. Wong, MD, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Calvin K. Wong, MD, PC. 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 Calvin K. Wong, MD, PC was last updated on April 19, 2010. 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.