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IRENE PUI LAI WONG M.D.
NPI 1790060283
Pediatrics in San Diego, CA

Active since October 15, 2011PECOS Enrolled
3020 CHILDRENS WAY # MC5124, SAN DIEGO, CA 92123(858) 966-6764(858) 966-7966 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Irene Pui Lai Wong M.d. NPPES

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

IRENE PUI LAI WONG M.D. (NPI 1790060283) is an individual pediatrics provider in San Diego, California, licensed in California (A114117) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790060283
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameIRENE PUI LAI WONGCredential: M.D.
Location Address3020 CHILDRENS WAY # MC5124San Diego, CA 92123-4223
Mailing Address3020 Childrens Way # Mc5124San Diego, CA 92123-4223 · (858) 966-6764 · Fax (858) 966-7966
Phone(858) 966-6764
Fax(858) 966-7966
Sole ProprietorNo
Enumeration DateOctober 15, 2011
Last NPPES UpdateDecember 15, 2021
✔ NPI 1790060283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A114117
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.
3020 CHILDRENS WAY # MC5124, San Diego, CA 92123
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Irene Pui Lai Wong M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Irene Wong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
416 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92123 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
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 20

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

EMILY BONTRAGER MD
Student in an Organized Health Care Education/Training Program
3020 CHILDRENS WAY # MC5124
SAN DIEGO, CA 92123
San Diego County (858) 966-6764
MARISSA CALDWELL
Student in an Organized Health Care Education/Training Program
3020 CHILDRENS WAY # MC5124
SAN DIEGO, CA 92123
San Diego County (858) 966-6764
DREW MATSUURA
Student in an Organized Health Care Education/Training Program
3020 CHILDRENS WAY # MC5124
SAN DIEGO, CA 92123
San Diego County (858) 966-6764
KALEY ANN GROOMS MD
Student in an Organized Health Care Education/Training Program
3020 CHILDRENS WAY # MC5124
SAN DIEGO, CA 92123
San Diego County (585) 626-0782
MARC ALAIN DUROCHER MD
Pediatrics
3020 CHILDRENS WAY # MC5124
SAN DIEGO, CA 92123
San Diego County (858) 966-6764
LAUREN NICOLE ARONSON
Student in an Organized Health Care Education/Training Program
3020 CHILDRENS WAY # MC5124
SAN DIEGO, CA 92123
San Diego County (858) 966-6764
BRANDON BRIZUELA
Student in an Organized Health Care Education/Training Program
3020 CHILDRENS WAY # MC5124
SAN DIEGO, CA 92123
San Diego County (858) 966-6764
JESSICA TRAVIS MD
Pediatrics
3020 CHILDRENS WAY # MC5124
SAN DIEGO, CA 92123
San Diego County (858) 966-6764

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 Irene Wong's NPI number?

The NPI number for Irene Wong is 1790060283. It was assigned to this individual provider in the NPPES registry on October 15, 2011.

Where is Irene Wong located?

Irene Wong practices at 3020 Childrens Way # Mc5124, San Diego, CA 92123. The listed phone number is (858) 966-6764.

What is Irene Wong's specialty?

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

Is Irene Wong enrolled in Medicare?

Yes. Irene Wong is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Irene Wong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Irene Wong reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The 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 Irene Wong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Irene Wong was last updated on December 15, 2021. 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.