Melinda Joy Wong, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95003117 Issued in CA

Practice address

4625 Quigg Dr
Santa Rosa, CA 95409-5377

Phone

(707) 537-2111

NPI assigned

Apr 4, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1164885455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 QUIGG DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954095377",
            "telephone_number": "707-537-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 QUIGG DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954095377",
            "telephone_number": "707-537-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "MELINDA",
        "middle_name": "JOY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanine Wong
• Julia May Wong, DO
• Kalane Jade Wong, M.D.
• Kathy M Wong, PHARM.D.
• Laura Ann Wong, PHARM.D
• Raymond Sing Wong, PHARM.D
• Richard Gary Wong, DC
• Susan Wong, PHARMD
• Terri Wong, PHARM.D.
• Ashley Wood, LCSW

• Family Nurse Practitioner in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.