Active NPI
Joanna May Wong, MD
- Pediatrics Physician
- Manhattan Beach, CA
National Provider Identifier
1053397364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G46405
- Practice address
- 855 Manhattan Beach Blvd
Ste 103
Manhattan Beach, CA 90266-4965 - Phone
- (310) 939-7850
- Fax
- (310) 939-7851
- NPI assigned
- Dec 19, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G46405 | CA | Primary |
Addresses
Primary practice location
855 Manhattan Beach Blvd
Ste 103
Manhattan Beach, CA 90266-4965
Mailing address
855 Manhattan Beach Blvd
Ste 103
Manhattan Beach, CA 90266-4965
Phone (310) 939-7850
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G46405 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1053397364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 MANHATTAN BEACH BLVD",
"address_2": "STE 103",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902664965",
"telephone_number": "310-939-7850",
"fax_number": "310-939-7851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 MANHATTAN BEACH BLVD",
"address_2": "STE 103",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902664965",
"telephone_number": "310-939-7850",
"fax_number": "310-939-7851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "JOANNA",
"middle_name": "MAY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G46405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhattan Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.