DR. KELLY KRISTIN WONG (NPI# 1932289824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932289824 |
| Entity Type | Individual |
| Full Name | DR. KELLY KRISTIN WONG |
| Credential | M.D. |
| Practice Address |
250 E Yale Loop Ste 204 Irvine CA 92604-4697 |
| Mailing Address |
Po Box 2163 Newport Beach CA 92659-1163 |
| Practice Telephone | 9497323530 |
| Practice Fax Number | 9497323533 |
| Mailing Telephone | 6572413600 |
| Mailing Fax Number | 6572417708 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2016-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A82648 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992176259 | Kelly Wong | Pharmacist | 1120 S Nt Vernon Ave, Colton, CA 92324 | 2015-10-13 |
| 1699865741 | Kelly Kwok Wong | Specialist | 728 Pacific Ave # 703, San Francisco, CA 94133-4457 | 2006-10-12 |
| 1194377572 | Kelly Wong | Behavior Technician | 8795 Folsom Blvd Ste 103, Sacramento, CA 95826-3720 | 2019-07-15 |
| 1306347364 | Kelly Wong | Behavior Technician | 5820 Stoneridge Mall Rd Ste 205, Pleasanton, CA 94588-3347 | 2018-02-26 |
| 1376073593 | Kelly Wong | Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2017-06-20 |
| 1205174505 | Kelly Lee Wong | Internal Medicine | 3300 Webster St, 1000, Oakland, CA 94609-3117 | 2013-01-21 |
| 1174803605 | Kelly Marie Wong | Nurse Practitioner | 861 Sw 78th Ave, Ste 200b, Plantation, FL 33324-3273 | 2011-08-29 |
| 1710157318 | Kelly Wong | Nurse Practitioner | 4201 Henry Ave, Philadelphia University, Student Health Center, Philadelphia, PA 19144-5409 | 2008-03-11 |
| 1215106448 | Kelly Tim Tim Wong | Family Medicine | 711 W College St Ste 208, Los Angeles, CA 90012-1093 | 2008-02-21 |
| Street Address |
250 E YALE LOOP STE 204 |
| City | IRVINE |
| State | CA |
| Zip Code | 92604-4697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689665036 | Brian Solow | Family Medicine | 250 E Yale Loop, Ste 200, Irvine, CA 92604-4697 | 2005-11-03 |
| 1659810042 | Matthew Le | Physical Therapist | 250 E Yale Loop, Ste. 201, Irvine, CA 92604-4697 | 2017-02-17 |
| 1386182921 | Daniel Burke | Physical Therapist | 250 E Yale Loop, Ste. 201, Irvine, CA 92604-4697 | 2017-02-02 |
| 1336500859 | Gillian Virginia Foley | Physical Therapist | 250 E Yale Loop, 201, Irvine, CA 92604-4697 | 2016-03-10 |
| 1629437835 | Rabin A. Marfatia Dds, Inc. | Dentist | 250 E Yale Loop, Suite 205, Irvine, CA 92604-4697 | 2016-02-16 |
| 1801286935 | University Head & Neck Surgeons | Otolaryngology | 250 E Yale Loop, Suite 200, Irvine, CA 92604-4697 | 2015-01-27 |
| 1881967040 | Sarah Lynn Campbell | Nurse Practitioner | 250 E Yale Loop, Ste 204, Irvine, CA 92604-4697 | 2012-02-20 |
| 1205105913 | Amanda A Binns | Internal Medicine | 250 E Yale Loop, Ste 204, Irvine, CA 92604-4697 | 2011-12-26 |
| 1477822807 | Coury and Buehler Physical Therapy - Irvine, Inc. | Clinic/Center | 250 E Yale Loop, Ste. 201, Irvine, CA 92604-4697 | 2011-12-13 |
| 1295032985 | Memorialcare Medical Foundation | Internal Medicine | 250 E Yale Loop, Suite 200, Irvine, CA 92604-4697 | 2011-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417643 | New Skin and Body Aesthetics Inc | Internal Medicine | 4980 Barranca Parkway, 201, Irvine, CA 92604 | 2020-11-02 |
| 1679091144 | Alan Chang | Pharmacist | 5385 Alton Parkway, Irvine, CA 92604 | 2017-09-06 |
| 1942751599 | Haleh Ranjijifroody | Chiropractor | 4980 Barranca Parkway Unit 200, Irvine, CA 92604 | 2016-10-19 |
| 1265982136 | Nora M Balke | Nurse Practitioner | 4968 Booth Cir Ste 110, Irvine, CA 92604 | 2016-10-04 |
| 1679945612 | Cvs Pharmacy | Pharmacist | 15333 Culver Drive, Suite 300, Irvine, CA 92604 | 2015-10-29 |
| 1184016230 | Keri Blasingame | Nurse Practitioner | 4980 Barranca Parkway Suite 200, Irvine, CA 92604 | 2015-02-26 |
| 1679979827 | Oc Women's Health,apc | Obstetrics & Gynecology | 14252 Culver Drive Suite A 499, Irvine, CA 92604 | 2014-11-17 |
| 1326443920 | Peter Sumarsono Professional Dental Corporation | Preferred Provider Organization | 4605 Barranca Parkway., 200, Irvine, CA 92604 | 2014-10-27 |
| 1164832218 | Abdiel Noe Hernandez | Driver | 14252 Culver Drive Ste A, Irvine, CA 92604 | 2014-04-29 |
| 1811315781 | Trisha Sharma | Internal Medicine | 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 | 2014-03-28 |
| Find all providers in zip 92604 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720621634 | Sherif Labatia Md & Marianne Mikhail Md Inc | Family Medicine | 4950 Barranca Pkwy Ste 308, Irvine, CA 92604-4631 | 2019-10-23 |
| 1770068629 | St Joseph Heritage Healthcare | Family Medicine | 1 Edwards Way, Irvine, CA 92614-5688 | 2018-09-26 |
| 1851888671 | Infinity Medicine Inc | Family Medicine | 9950 Research Dr, Irvine, CA 92618-4309 | 2018-04-17 |
| 1336650068 | Newport Personal Medicine, Inc. | Family Medicine | 22 Odyssey Ste 110, Irvine, CA 92618-3186 | 2017-10-20 |
| 1457886095 | Wayland Tang | Family Medicine | 3877 Portola Pkwy, Irvine, CA 92602-0828 | 2017-04-20 |
| 1891148102 | Community Performancerx Mso, LLC | Family Medicine | 9701 Jeronimo Rd, Suite 300, Irvine, CA 92618-2076 | 2016-07-21 |
| 1376998732 | Janet Solis | Family Medicine | 307 Verano Pl, Irvine, CA 92617-3107 | 2016-05-04 |
| 1164878534 | Sadaf Sareshwala | Family Medicine | 1001 Health Sciences Rd, Irvine, CA 92697-3054 | 2016-05-04 |
| 1538543376 | Network of Orange County Community Health Center | Family Medicine | 17701 Cowan, Suite 220, Irvine, CA 92614-6057 | 2015-07-10 |
| 1518349216 | St Jude Hospital Yorba Linda, Inc. | Family Medicine | 3355 Michelson Dr, Ste. 490, Irvine, CA 92612-0684 | 2015-06-18 |
| Find all providers in IRVINE | ||||
Please comment or provide details below to improve the information on DR. KELLY KRISTIN WONG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.