Individual provider Active NPI

Anna Wong, FNP

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1194037481
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19899 Issued in CA
Practice address
709 N Hill St Ste 18
Los Angeles, CA 90012-2352
Phone
(213) 687-0888
NPI assigned
Jul 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19899 CA Primary

Addresses

Primary practice location

709 N Hill St Ste 18
Los Angeles, CA 90012-2352

Mailing address

709 N Hill St Ste 18
Los Angeles, CA 90012-2352
Phone (213) 687-0888

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121211000126 CA Practitioner - Nurse Practitioner 2466604830 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Precision Health CenterGroup PAC ID 4486047628, 8 clinicians

Practice addresses (Care Compare)

709 N Hill St
Suite 18
Los Angeles, CA 90012-2352
Phone (213) 687-0988

Hospital & facility affiliations

  • Bright Care Home Health, Inc Home health agency, Rosemead, CA, CCN 058396
  • Sunrise Home Health Care Provider, Inc Home health agency, Hacienda Heights, CA, CCN 059458

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
19899CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Health Center CurrentSince Oct 1, 2022 Accepting new patients
Precision Health Center CurrentSince Oct 1, 2022 Accepting new patients
Ahmc Garfield Medical Center LP PastSince Oct 20, 2012 Accepting new patients

Locations

709 N Hill St
Ste 18
Los Angeles, CA 90012
Phone (213) 328-0819

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1194037481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 N HILL ST STE 18",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122352",
            "telephone_number": "213-687-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 N HILL ST STE 18",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122352",
            "telephone_number": "213-687-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ANNA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-02",
        "last_updated": "2022-08-19",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "19899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.