DR. SEONG YEON PARK WONG MD
NPI 1821207804
Anesthesiology in San Diego, CA
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
Specialties & Licenses 3
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Seong Yeon Wong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92120
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
SAN DIEGO, CA 92120
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.
Which organization bills Medicare for Seong Yeon Wong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Seong Yeon Wong reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, 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 Seong Yeon 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 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.
# Dr. Seong Yeon Park Wong, MD · NPI 1821207804
Anesthesiology physician in San Diego, California. Individual provider, active in the CMS NPPES registry since May 22, 2007.
## Identity
- **NPI:** 1821207804 (Entity type: Individual)
- **Enumerated:** May 22, 2007
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** A112159 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4647 ZION AVE, San Diego, CA 92120-2507
- **Phone:** (619) 528-5288
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1225060742, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** December 23, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1821207804) · Data from the CMS NPPES public registry.