Caroline Wong, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

G75701 Issued in CA

Practice address

3838 San Dimas St
Suite A100
Bakersfield, CA 93301-2284

Phone

(661) 869-2600

Fax

(661) 869-2003

NPI assigned

Sep 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Kern Nephrology Medical Group

  dba Central Kern Nephrology Medical Group

  • Nephrology Physician
  • Bakersfield, CA
  • NPI 1962454140
  NPD (past)
• Patrick Paw MD Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Bakersfield, CA
  • NPI 1073770954
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1174625008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11959",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933893959",
            "telephone_number": "661-869-2600",
            "fax_number": "661-869-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 SAN DIMAS ST",
            "address_2": "SUITE A100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012284",
            "telephone_number": "661-869-2600",
            "fax_number": "661-869-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "CAROLINE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G75701",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "G757011",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G757010",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G757011",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00379026",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Womens Care Center a Medical Group Inc (The Womens Care Center)
• Sally Marie Wonderly, MD
• Melissa Wondra
• Alexander F Wong, PA
• Apinya Wong
• Charles David Wong, D.O.
• Charlton Wong, MD
• David Anthony Wong, PHARM D
• Edward Wong, D.D.S.
• Jason J Wong, DPT

• Nephrology Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.