DEVIN SCOTT KENJI WONG MD NPI 1942521232

Pediatrics in Eureka, CA

NPI 1942521232 Individual Male Pediatrics PECOS Enrolled

About DEVIN WONG

Devin Wong is a pediatrician established in Eureka, California and his medical specialization is pediatrics. The NPI number of Devin Wong is 1942521232 and was assigned on June 2010. The practitioner's primary taxonomy code is 208000000X with license number A127341 (CA). The provider is registered as an individual and his NPI record was last updated December 2021.

A pediatrician like Devin Scott Kenji Wong Md is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Devin Wong is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Devin Wong is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1942521232

Provider Name DEVIN SCOTT KENJI WONG MD
Provider Location Address2200 TYDD ST EUREKA, CA 95501
Provider Mailing Address670 9TH ST SUITE 203 ARCATA, CA 95521
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-21-2010
Last Update Date12-17-2021


Primary Taxonomy

Taxonomy Code208000000X
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
License No.A127341
License StateCA
Taxonomy DescriptionA 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.

Business Address

DEVIN SCOTT KENJI WONG MD
2200 TYDD ST
EUREKA, CA
ZIP 95501
Phone: (707) 441-1624
Fax: (707) 441-1253

Get Directions


Mailing Address

DEVIN SCOTT KENJI WONG MD
670 9TH ST
SUITE 203
ARCATA, CA
ZIP 95521
Phone: (707) 826-8633
Fax: (707) 826-8638



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramDO NOT HAVE ONE YETNYNo

Taxonomy Description: an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1144563701 LYNETTE EDDY RN
Individual
Registered Nurse2200 TYDD ST
EUREKA, CA 95501
(707) 441-1624
1649278797 JESSICA L VANARSDALE MD
Individual
Family Medicine2200 TYDD ST
EUREKA, CA 95501
(707) 441-1624
1023453933 PENNY POWERS RN
Individual
Registered Nurse2200 TYDD ST
EUREKA, CA 95501
(707) 441-1624
1952672099 TAMMY PITTAYATHIKHUN FNP
Individual
Nurse Practitioner (Family)2200 TYDD ST
EUREKA, CA 95501
(707) 441-1624
1669569109OPEN DOOR COMMUNITY HEALTH CENTERS
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))2200 TYDD ST
EUREKA, CA 95501
(707) 441-1624
1316293467 CHRISTOPHER WEST NP
Individual
Nurse Practitioner (Adult Health)2200 TYDD ST
EUREKA, CA 95501
(707) 441-1624
1396162723 DULCE ZIEGLER RN
Individual
Registered Nurse2200 TYDD ST
EUREKA, CA 95501
(707) 441-1624
1982018966 ALLEGRA STROUP FNP
Individual
Nurse Practitioner2200 TYDD ST
EUREKA, CA 95501
(707) 441-1624
1922417351 CAPRICE GILLEY RN
Individual
Registered Nurse2200 TYDD ST
EUREKA, CA 95501
(707) 441-1624
1104954353 KAREN SUE O'SHELL LCSW
Individual
Social Worker (Clinical)2200 TYDD ST
EUREKA, CA 95501
(707) 441-1624
1962456285 RAY N MILLER JR. MD
Individual
Family Medicine2200 TYDD ST
EUREKA, CA 95501
(707) 441-1624
1649643115 KRISTEN COWAN RN
Individual
Registered Nurse2200 TYDD ST
EUREKA, CA 95501
(707) 441-1624
1346608262 RAVEN DUSHAY R.N.
Individual
Registered Nurse (Pediatrics)2200 TYDD ST
EUREKA, CA 95501
(707) 269-7051
1083067524 NECIA WICK R.N.
Individual
Registered Nurse2200 TYDD ST
EUREKA, CA 95501
(707) 441-1624
1326339763MS. LINDA ROSE VILLANO RN
Individual
Registered Nurse2200 TYDD ST
EUREKA, CA 95501
(707) 269-7051
1609801190MS. JOAN E. HIRSCHFELD LMFT
Individual
Marriage & Family Therapist2200 TYDD ST
EUREKA, CA 95501
(707) 441-1624
1962598680 ELLEN ESTABROOK TAYLOR PAC
Individual
Physician Assistant (Medical)2200 TYDD ST
EUREKA, CA 95501
(707) 441-1624
1871632893 ANNE CHRISTENSEN DO
Individual
Family Medicine2200 TYDD ST
EUREKA, CA 95501
(707) 441-1624
1962690594 KRISTEN METCALFE PA
Individual
Physician Assistant2200 TYDD ST
EUREKA, CA 95501
(707) 269-7051
1205076015 CASEY KELLY PA
Individual
Physician Assistant2200 TYDD ST
EUREKA, CA 95501
(707) 269-7051

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.