Individual provider Active NPI

Claudia L Wong, NP

  • Nurse Practitioner
  • Santa Monica, CA
National Provider Identifier
1003129925
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
19219 Issued in CA
Practice address
1301 20TH St Ste 150
Santa Monica, CA 90404-2050
Phone
(310) 582-7641
Fax
(310) 315-4069
NPI assigned
Jul 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 19219 CA Primary

Addresses

Primary practice location

1301 20TH St Ste 150
Santa Monica, CA 90404-2050

Mailing address

1313 N Milpitas Blvd Ste 265
Milpitas, CA 95035-3190
Phone (408) 396-4505

Other practice location 1

19191 S Vermont Ave
Torrance, CA 90502-1018
Phone (310) 354-4200

Other practice location 2

1313 N Milpitas Blvd Ste 265
Milpitas, CA 95035-3190
Phone (844) 310-2247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101004001366 CA Practitioner - Nurse Practitioner 3779775101 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1301 20TH St
Suite 150
Santa Monica, CA 90404-2050
Phone (310) 582-7641

2336 Santa Monica Blvd
Suite 204
Santa Monica, CA 90404-2938
Phone (310) 829-6789

Hospital & facility affiliations

  • Providence Home Health la County South Home health agency, Torrance, CA, CCN 557447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Saint Johns Medical Foundation CurrentSince Oct 1, 2020 Accepting new patients
Healthcare Partners Affiliates Medical Group Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jun 30, 2010 Accepting new patients
Providence Saint Johns Medical Foundation CurrentSince Oct 1, 2020 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jun 30, 2010 Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Saint John'S Health Clinic Past Accepting new patients

Locations

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

1025 W Olympic Blvd
Los Angeles, CA 90015
Phone (213) 623-2225

1301 20th St
Ste 150
Santa Monica, CA 90404
Phone (310) 582-7641

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

2125 Arizona Ave
Santa Monica, CA 90404
Phone (310) 582-7450

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

19191 S Vermont Ave
Torrance, CA 90502
Phone (310) 354-4211

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1003129925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 N MILPITAS BLVD STE 265",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950353190",
            "telephone_number": "408-396-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 20TH ST STE 150",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042050",
            "telephone_number": "310-582-7641",
            "fax_number": "310-315-4069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19191 S Vermont Ave",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905021018",
            "country_code": "US",
            "telephone_number": "310-354-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1313 N Milpitas Blvd Ste 265",
            "address_purpose": "LOCATION",
            "city": "Milpitas",
            "state": "CA",
            "postal_code": "950353190",
            "country_code": "US",
            "telephone_number": "844-310-2247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "CLAUDIA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-20",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "19219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.