Active NPI
Jared Wong, PA
- Physician Assistant
- Ventura, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA53225
- Practice address
- 147 N Brent St
Ventura, CA 93003-2854 - Phone
- (805) 652-5011
- NPI assigned
- Jan 13, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA53225 | CA | Primary |
| Physician Assistant | 363A00000X | 018348 | NY |
Addresses
Primary practice location
147 N Brent St
Ventura, CA 93003-2854
Mailing address
147 N Brent St
Ventura, CA 93003-2854
Phone (805) 652-5011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
465 W Putnam Ave
Porterville, CA 93257-3320
Phone (559) 784-1110
Hospital & facility affiliations
- Sierra View Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.74 of 100
- Quality
- 78.57
- Improvement activities
- 40
- Cost
- 79.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA53225 | CA | MD | Physician Assistant |
| 018348 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fpa Hospital Based | Current | Accepting new patients | |
| Central Valley Emergency Medicine | Current | Accepting new patients |
Locations
465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886
1000 10th Ave
New York, NY 10019
Phone (212) 523-2369
1176 5th Ave
New York, NY 10029
Phone (212) 241-6237
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Porterville, CA
- NPI 1336956275
-
- Emergency Medicine Physician
- Hemet, CA
- NPI 1265711089
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1972826931
-
- Emergency Medicine Physician
- Ventura, CA
- NPI 1518298686
-
- Emergency Medicine Physician
- West Hills, CA
- NPI 1275761249
-
- Nuclear Medicine Physician
- New York, NY
- NPI 1629319413
-
- Dermatopathology (Pathology) Physician
- New York, NY
- NPI 1841531795
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Porterville, CA
- NPI 1639143381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1083003156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 N BRENT ST",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032854",
"telephone_number": "805-652-5011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 N BRENT ST",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032854",
"telephone_number": "805-652-5011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "JARED",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-13",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA53225",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "018348",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.