DR. YUETIN TINA WONG M.D.
NPI 1922399021
Family Medicine in San Jose, CA
About Dr. Yuetin Tina Wong M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. YUETIN TINA WONG M.D. (NPI 1922399021) is an individual family medicine provider in San Jose, California, licensed in California (A110707) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2008).
NPPES Registry Identity
Specialties & Licenses
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. Yuetin Tina Wong M.d. 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 Yuetin Wong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95112
- Reassigned Medicare billing, California enrollment
- 2,460 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95131 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Yuetin Wong's NPI number?
The NPI number for Yuetin Wong is 1922399021. It was assigned to this individual provider in the NPPES registry on April 22, 2011.
Where is Yuetin Wong located?
Yuetin Wong practices at 1715 Lundy Ave Ste 108-116, San Jose, CA 95131. The listed phone number is (408) 573-9686.
What is Yuetin Wong's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Yuetin Wong enrolled in Medicare?
Yes. Yuetin 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 Yuetin Wong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Yuetin Wong reassigns Medicare benefits to County Of Santa Clara (San Jose, 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 Yuetin 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 Yuetin Wong was last updated on April 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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. Yuetin Tina Wong, M.D. · NPI 1922399021
Family Medicine physician in San Jose, California. Individual provider, active in the CMS NPPES registry since April 22, 2011.
## Identity
- **NPI:** 1922399021 (Entity type: Individual)
- **Enumerated:** April 22, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A110707 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1715 LUNDY AVE STE 108-116, San Jose, CA 95131-1837
- **Phone:** (408) 573-9686
## 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:** County Of Santa Clara (NPI 1336733138, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Albert Einstein College Of Medicine Of Yeshiva University, class of 2008
## Record status
- **NPPES last updated:** April 23, 2013
---
Source: [NPI Profile](https://npiprofile.com/npi/1922399021) · Data from the CMS NPPES public registry.