DR. JOE K WONG (MD) – Internal Medicine Physician, NPI 1063442879

DR. JOE K WONG (MD) is a healthcare provider. based in San clemente, California. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. G34262 (CA). The NPI Number for DR. JOE K WONG (MD) is 1063442879

Main info

Male
Sole Proprietor
50 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOE K WONG (MD)
NPI
1063442879
Phone
(949) 973-5448
Address
1714 COLINA TERRESTRE
Enumeration Date
4 July 2006
Last Update Date
8 September 2022

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
9494993085
Graduation Year
1976 (50 years ago)
PAC ID
2264418078
Professional Enrollment ID
I20040624000592
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JOE K WONG (MD)

  • 1714 COLINA TERRESTRE

    SAN CLEMENTE, CA 926733651

    Phone: (949) 973-5448

    Fax: (949) 493-7348

    Type: Mailing

  • Pacific Coast Highway, Three Arch Bay, Laguna Beach, Orange County, California, 92624, United States

    STE 305

    LAGUNA BEACH, CA 926516766

    Phone: (949) 499-3085

    Fax: (949) 499-4095

    Type: Location

  • 67, South Peak, Laguna Niguel, Orange County, California, 92677, United States

    LAGUNA NIGUEL, CA 926772903

    Phone: (949) 499-3085

    Fax: (949) 499-4095

    Type: Mailing

  • 31852 COAST HWY STE 201

    LAGUNA BEACH, CA 926516765

    Phone: (949) 715-0505

    Fax: (949) 715-0508

    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.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-06-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040624000592IInternal MedicineCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1711$0
View full utilization report →

Insurance plans in this area (ZIP 92673)

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Reviews

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Frequently asked questions

What unique ID ties claims to DR. JOE K WONG (MD)?
NPI 1063442879 is assigned to DR. JOE K WONG (MD) under the national enumeration system.
Is DR. JOE K WONG (MD) currently active in the NPI registry?
CMS-published data lists DR. JOE K WONG (MD) as an active registrant.
What field does DR. JOE K WONG (MD) work in?
You can think of DR. JOE K WONG (MD) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. JOE K WONG (MD)'s primary listing?
We display San Clemente, California because that is what the record indicates for DR. JOE K WONG (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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