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DR. SEONG YEON PARK WONG MD
NPI 1821207804
Anesthesiology in San Diego, CA

Active since May 22, 2007PECOS EnrolledAccepts Medicare Assignment
4647 ZION AVE, SAN DIEGO, CA 92120(619) 528-5288 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Seong Yeon Park Wong Md NPPES

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

DR. SEONG YEON PARK WONG MD (NPI 1821207804) is an individual anesthesiology provider in San Diego, California, licensed in California (A112159) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1821207804
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameDR. SEONG YEON PARK WONGCredential: MD
Location Address4647 ZION AVESan Diego, CA 92120-2507
Mailing Address3540 Caminito Carmel LndgSan Diego, CA 92130-2503 · (858) 842-7882
Phone(619) 528-5288
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 22, 2007
Last NPPES UpdateDecember 23, 2021
NPPES CertifiedDecember 23, 2021
✔ NPI 1821207804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · A112159
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License A112159 (CA)
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License A112159 (CA)
4647 ZION AVE, San Diego, CA 92120
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Other Names 1

Other Name (5)Seong Park Wong Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Seong Yeon Park Wong Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648455147
PECOS Enrollment IDI20110427000360
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.

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.

ANN MARIE PENA MD
Obstetrics & Gynecology
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5000
DR. SHWETA WARNER M.D.
Internal Medicine (Infectious Disease)
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (619) 221-6258
DR. MATTHEW JAMES ROOSEVELT M.D.
Internal Medicine
4647 ZION AVE, DEPARTMENT OF HOSPITAL MEDICINE
SAN DIEGO, CA 92120
San Diego County (619) 952-5091
RICHARD FUNG
Pharmacist
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (626) 278-2749
ARDIS L TASCHNER CRNA
Nurse Anesthetist, Certified Registered
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5000
JEANNE HAGER DONAHUE LCSW
Social Worker (Clinical)
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5323
DAVID M. LEVINE MD
Internal Medicine (Pulmonary Disease)
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5000
DALE K. LIEU MD
Internal Medicine (Infectious Disease)
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5000

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 Seong Yeon Wong's NPI number?

The NPI number for Seong Yeon Wong is 1821207804. It was assigned to this individual provider in the NPPES registry on May 22, 2007. The provider is also known as Seong Park Wong MD.

Where is Seong Yeon Wong located?

Seong Yeon Wong practices at 4647 Zion Ave, San Diego, CA 92120. The listed phone number is (619) 528-5288.

What is Seong Yeon Wong's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Seong Yeon Wong enrolled in Medicare?

Yes. Seong Yeon Wong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Seong Yeon Wong was last updated on December 23, 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.