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REGINA FUNG GUEN WONG M.D.
NPI 1992919823
Pediatrics in Lodi, CA

Active since May 10, 2007PECOS Enrolled
2415 W VINE ST, SUITE 105, LODI, CA 95242(209) 333-3135(209) 333-3008 Get Directions Write a Review

NPPES record last updated: November 30, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Regina Fung Guen Wong M.d. NPPES

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

REGINA FUNG GUEN WONG M.D. (NPI 1992919823) is an individual pediatrics provider in Lodi, California, licensed in California (A98176) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992919823
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameREGINA FUNG GUEN WONGCredential: M.D.
Location Address2415 W VINE ST, SUITE 105Lodi, CA 95242-3731
Mailing AddressPo Box 241011Lodi, CA 95241-9511 · (209) 333-3121 · Fax (209) 333-3008
Phone(209) 333-3135
Fax(209) 333-3008
Sole ProprietorNo
Enumeration DateMay 10, 2007
Last NPPES UpdateNovember 30, 2010
✔ NPI 1992919823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A98176
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.
2415 W VINE ST, Lodi, CA 95242
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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)

Regina Fung Guen 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 Regina Wong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Medical Centers Inc
0.1 mi
Federally Qualified Health Center (FQHC)
2415 W VINE ST STE 105
Lodi, CA 95242
  • Reassigned Medicare billing, California enrollment
  • 154 clinicians in this Medicare group
NPI 1164087268 (209) 333-3121

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 95242 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 8

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

LODI MEMORIAL HOSPITAL ASSOCIATION INC
Pharmacy (Community/Retail Pharmacy)
2415 W VINE ST, 104B
LODI, CA 95242
San Joaquin County (209) 333-3009
JAY RATILAL M.D.
Pediatrics
2415 W VINE ST, SUITE 100
LODI, CA 95242
San Joaquin County (209) 333-3135
HARVEY HASHIMOTO MD
Family Medicine
2415 W VINE ST, SUITE 105
LODI, CA 95242
San Joaquin County (209) 339-7435
KIRSTEN M CULLER MD
Pediatrics
2415 W VINE ST, SUITE 100
LODI, CA 95242
San Joaquin County (209) 333-3135
LODI MEMORIAL HOSPITAL ASSOCIATION INC
Clinic/Center
2415 W VINE ST, SUITE 103
LODI, CA 95242
San Joaquin County (209) 333-3030
DAISY BRISENO FNP
Registered Nurse
2415 W VINE ST, SUITE 106
LODI, CA 95242
San Joaquin County (209) 333-3066
MS. SANDRA BECK-ATWATER RPH
Pharmacist
2415 W VINE ST, SUITE 104B
LODI, CA 95242
San Joaquin County (209) 333-3009
LODI HEALTH
Pharmacy Technician
2415 W VINE ST
LODI, CA 95242
San Joaquin County (209) 333-3009

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 Regina Wong's NPI number?

The NPI number for Regina Wong is 1992919823. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Where is Regina Wong located?

Regina Wong practices at 2415 W Vine St Suite 105, Lodi, CA 95242. The listed phone number is (209) 333-3135.

What is Regina Wong's specialty?

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

Is Regina Wong enrolled in Medicare?

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

Which organization bills Medicare for Regina Wong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Regina Wong reassigns Medicare benefits to Community Medical Centers Inc (Lodi, 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 Regina 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 Regina Wong was last updated on November 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.