Active NPI
Jameson Wong
- Chiropractor
- Pasadena, CA
National Provider Identifier
1144749987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 32470
- Practice address
- 960 E Green St Ste L-09
Pasadena, CA 91106-2428 - Phone
- (626) 639-8571
- NPI assigned
- Sep 13, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 32470 | CA | Primary |
Addresses
Primary practice location
960 E Green St Ste L-09
Pasadena, CA 91106-2428
Mailing address
960 E Green St Ste L-09
Pasadena, CA 91106-2428
Phone (626) 639-8571
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
960 E Green St
Suite L 09
Pasadena, CA 91106-2428
Phone (626) 639-8571
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32470 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diep Chiropractic Wellness, Inc. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
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- Chiropractor
- El Monte, CA
- NPI 1841719820
-
- Chiropractor
- El Monte, CA
- NPI 1518162148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702339200000",
"number": "1144749987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 E GREEN ST STE L-09",
"city": "PASADENA",
"state": "CA",
"postal_code": "911062428",
"telephone_number": "626-639-8571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 E GREEN ST STE L-09",
"city": "PASADENA",
"state": "CA",
"postal_code": "911062428",
"telephone_number": "626-639-8571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "JAMESON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-13",
"last_updated": "2023-12-12",
"certification_date": "2023-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "32470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.