DR. KELLY KWOK WONG M.D.
NPI 1699865741
Pediatrics in San Francisco, CA

Q: What is Kelly Wong's NPI number?

The NPI number for Kelly Wong is 1699865741. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Q: What is Kelly Wong's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Wong was last updated on June 22, 2022. 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.

Active since October 12, 2006CLIA 05D2085683 · Waiver

728 PACIFIC AVE # 703, SAN FRANCISCO, CA 94133(415) 805-7782(415) 805-7783 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Kelly Kwok Wong M.d. NPPES

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

DR. KELLY KWOK WONG M.D. (NPI 1699865741) is an individual pediatrics provider in San Francisco, California, licensed in California (A65226) and active in the NPI registry since October 2006. He holds a CLIA Waiver certificate valid through October 19, 2026.

NPPES Registry Identity

NPI1699865741

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. KELLY KWOK WONGCredential: M.D.

Location Address728 PACIFIC AVE # 703San Francisco, CA 94133-4457

Mailing Address728 Pacific Ave # 703San Francisco, CA 94133-4457 · (415) 805-7782 · Fax (415) 805-7783

Phone(415) 805-7782

Fax(415) 805-7783

Sole ProprietorYes

Enumeration DateOctober 12, 2006

Last NPPES UpdateJune 22, 2022

NPPES CertifiedJune 22, 2022

✔ NPI 1699865741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A65226

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.

728 PACIFIC AVE # 703, San Francisco, CA 94133

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2085683

Kelly K Wong MD · San Francisco, CA

Active · expires Oct 19, 2026

CLIA Number05D2085683

Laboratory TypePhysician Office

Certificate Effective DateOctober 20, 2024

Certificate Expiration DateOctober 19, 2026

Laboratory DirectorKelly K. Wong

Laboratory Phone(415) 805-7782

Laboratory LocationKelly K Wong MD728 Pacific Ave Ste 703, San Francisco, CA 94133

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Kelly Wong's NPI number?

The NPI number for Kelly Wong is 1699865741. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Kelly Wong located?

Kelly Wong practices at 728 Pacific Ave # 703, San Francisco, CA 94133. The listed phone number is (415) 805-7782.

What is Kelly Wong's specialty?

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

Does Kelly Wong hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2085683) is associated with this NPI, valid through October 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kelly Wong was last updated on June 22, 2022. 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.