JIMMIE WONG (MD) – Diagnostic Radiology Physician, NPI 1003865866
Diagnostic Radiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
4,800 DIAGNOSTIC RADIOLOGY in CA
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Provider Addresses for JIMMIE WONG (MD)
Box, Lago del Salado, Los Angeles, San Nicolás de los Garza, Nuevo León, 66477, Mexico
LOS ANGELES, CA 900510185
Phone: (626) 775-3214
Fax: (626) 218-5310
Type: Mailing
1500, Duarte Road, Butler, Duarte, Los Angeles County, California, 91010, United States
DUARTE, CA 910103012
Phone: (626) 359-8111
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-09-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050922000714 | I | Diagnostic Radiology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 628 | 392 | $0 |
| 71046 | X-ray of chest, 2 views | 450 | 342 | $0 |
| 71250 | Ct scan of chest without contrast | 294 | 274 | $0 |
| 71260 | Ct scan of chest with contrast | 251 | 243 | $0 |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 109 | 109 | $0 |
Insurance plans in this area (ZIP 90051)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | CA | 71010 | X-ray of chest, 1 view, front | 477 | 279 |
| DIAGNOSTIC RADIOLOGY | CA | 74177 | CT scan of abdomen and pelvis with contrast | 28 | 27 |
| DIAGNOSTIC RADIOLOGY | CA | 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 137 | 132 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Nurse Practitioner | CA | |
| Cardiovascular Disease (Cardiology) | CA | |
| Hematology/Oncology, Internal Medicine | CA | |
| - | CA | |
| Nurse Practitioner | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| Endocrinology, Internal Medicine | CA | |
| General Surgery | CA | |
| Certified Registered Nurse Anesthetist (Crna) | PA |
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