Active NPI
Catherine Wong, RN-NP
- Nurse Practitioner
- Hacienda Heights, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP11905
- Practice address
- 17134 Colima Rd Ste E
Hacienda Heights, CA 91745-6737 - Phone
- (626) 820-0603
- Fax
- (626) 820-0602
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN507738 | CA | |
| Nurse Practitioner | 363L00000X | NP11905 | CA | Primary |
Addresses
Primary practice location
17134 Colima Rd Ste E
Hacienda Heights, CA 91745-6737
Mailing address
17134 Colima Rd Ste E
Hacienda Heights, CA 91745-6737
Phone (626) 820-0603
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN507738 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17134 Colima Rd
Suite E
Hacienda Heights, CA 91745-6737
Phone (626) 820-0603
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN507738 | CA | MD | Registered Nurse |
| NP11905 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel C. Choo, M.D., Cardiovascular Medical Corporation | Current | Accepting new patients |
Locations
101 E Valencia Mesa Dr
Fullerton, CA 92835
Phone (714) 446-7505
17134 Colima Rd
Ste E
Hacienda Hts, CA 91745
Phone (626) 387-0196
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Hacienda Heights, CA
- NPI 1528062072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516838400000",
"number": "1174656789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17134 COLIMA RD STE E",
"city": "HACIENDA HEIGHTS",
"state": "CA",
"postal_code": "917456737",
"telephone_number": "626-820-0603",
"fax_number": "626-820-0602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17134 COLIMA RD STE E",
"city": "HACIENDA HEIGHTS",
"state": "CA",
"postal_code": "917456737",
"telephone_number": "626-820-0603",
"fax_number": "626-820-0602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "CATHERINE",
"credential": "RN-NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2018-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "RN507738",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP11905",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RN507738",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hacienda Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.