VINSON VONG (MD) – Emergency Medicine Physician, NPI 1164050043

VINSON VONG (MD) is a healthcare provider. based in Riverside, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. A179194 (CA). The NPI Number for VINSON VONG (MD) is 1164050043

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
VINSON VONG (MD)
NPI
1164050043
Phone
(951) 788-3537
Address
4445 MAGNOLIA AVE
Enumeration Date
27 March 2020
Last Update Date
18 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3103792134
Graduation Year
2020 (6 years ago)
PAC ID
6507250933
Group Practice PAC ID
9830593730
Professional Enrollment ID
I20220301002647
Address ID
CA920642405PO15615RDXX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

5,791 EMERGENCY MEDICINE in CA

Provider Addresses for VINSON VONG (MD)

  • 4445 MAGNOLIA AVE

    RIVERSIDE, CA 925014135

    Phone: (951) 788-3537

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $117.

Total Amount is formed as General ($117) + Research ($0) + Ownership ($0) = $117.

Last reported payment date: 2023-01-31 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($117).

Total Amount

$117

General + Research + Ownership

Payments

1

Total payment records

General Amount

$117

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-03-01

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
I20220301002647IEmergency 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
99285Emergency department visit with high level of medical decision making2525$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2020$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1313$0
99291Critical care, first 30-74 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 92501)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830593730View full group profile
NameSpecialtyState
Emergency MedicineNH
Emergency MedicineCA
Emergency MedicineIL
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA
Physician AssistantCA
Emergency MedicineCA
Emergency MedicineCA

Reviews

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Frequently asked questions

How do payers reference VINSON VONG (MD)?
For VINSON VONG (MD), use NPI 1164050043 as the unique 10-digit identifier.
Is there an active status for VINSON VONG (MD)?
For scheduling context, VINSON VONG (MD) is shown as active in the registry.
How would a patient describe VINSON VONG (MD)'s focus?
For VINSON VONG (MD), the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for VINSON VONG (MD)?
Travel planning: use Riverside, California as the reference point for VINSON VONG (MD), then confirm.
When was this NPI issued?
Enumeration for VINSON VONG (MD) is noted as March 27, 2020 where the registry provides it.

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