Individual provider Active NPI

Genevieve Wong, WHNP-BC

  • Women's Health Nurse Practitioner
  • Santa Monica, CA
National Provider Identifier
1013388842
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
95003281 Issued in CA
Practice address
1316 3Rd Street Promenade
Suite 201
Santa Monica, CA 90401-1328
Phone
(800) 576-5544
NPI assigned
Oct 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95062564 CA
Women's Health Nurse Practitioner 363LW0102X 95003281 CA Primary

Addresses

Primary practice location

1316 3Rd Street Promenade
Suite 201
Santa Monica, CA 90401-1328

Mailing address

20 Mela LN
Rancho Palos Verdes, CA 90275-5084
Phone (310) 924-9195

Other identifiers 2

IdentifierTypeStateIssuer
95062564OtherCACA REGISTERED NURSE LICENSE NUMBER
95003281OtherCACA NURSE PRACTITIONER LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95062564CAMDRegistered Nurse
95003281CAMDWomen's Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: genevieve.wongrnp.p1@direct.plannedparenthoodla.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1013388842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MELA LN",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902755084",
            "telephone_number": "310-924-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 3RD STREET PROMENADE",
            "address_2": "SUITE 201",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011328",
            "telephone_number": "800-576-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "GENEVIEVE",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95062564",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95003281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA REGISTERED NURSE LICENSE NUMBER",
            "identifier": "95062564",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA NURSE PRACTITIONER LICENSE NUMBER",
            "identifier": "95003281",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.