Active NPI
James Christopher Wong, RD
- Registered Dietitian
- Redondo Beach, CA
National Provider Identifier
1073626933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 951458
- Practice address
- 1904 Carnegie LN # 1
Redondo Beach, CA 90278-2920 - Phone
- (562) 826-8000
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 951458 | CA | Primary |
Addresses
Primary practice location
1904 Carnegie LN # 1
Redondo Beach, CA 90278-2920
Mailing address
11830 Genoa Way
Los Angeles, CA 90047-5366
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
| License | State | Type | Specialty |
|---|---|---|---|
| 951458 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638144000000",
"number": "1073626933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11830 GENOA WAY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900475366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1904 CARNEGIE LN # 1",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902782920",
"telephone_number": "562-826-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "JAMES",
"middle_name": "CHRISTOPHER",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2021-11-29",
"certification_date": "2021-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "951458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.