Oi Shan Wong, N.P.

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

95001919 Issued in CA

Practice address

255 N White Rd Ste 200B
San Jose, CA 95127-1966

Phone

(408) 503-7600

Fax

(408) 503-7651

NPI assigned

Jan 29, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: oishan.wong.p1@direct.caremorewest.nextgenshare.com

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1144610122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N WHITE RD STE 200B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951271966",
            "telephone_number": "408-503-7600",
            "fax_number": "408-503-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N WHITE RD STE 200B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951271966",
            "telephone_number": "408-503-7600",
            "fax_number": "408-503-7651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21506 Lostine Ave",
            "address_purpose": "LOCATION",
            "city": "Carson",
            "state": "CA",
            "postal_code": "907451718",
            "country_code": "US",
            "telephone_number": "310-753-7872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "OI SHAN",
        "name_prefix": "Mr.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95001919",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95001919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica C Wong, RN, PHN
• Morgan Wong, D.O.
• Nelly Wong
• Nicholas Wong, DDS
• Nicholas Kangdi Wong
• Paul Y. Wong, MD
• Ping-Chung Wong
• Ryan Wong
• Samantha Wong, MD
• Sandy H Wong, O.M.D.

• Gerontology Nurse Practitioner in San Jose, CA
• Providers in San Jose, CA by specialty
• Gerontology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.