NPIMap

Individual provider Active NPI

Ana Wong Pacis, FNP

  • Primary Care Nurse Practitioner
  • San Jose, CA
National Provider Identifier
1194323121
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95015621 Issued in CA
Practice address
200 Jose Figueres Ave
San Jose, CA 95116-1500
Phone
(408) 259-3022
NPI assigned
Oct 12, 2020
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95015621 CA
Primary Care Nurse Practitioner 363LP2300X 95015621 CA Primary

Addresses

Primary practice location

200 Jose Figueres Ave
San Jose, CA 95116-1500

Mailing address

1886 Eagle Rock Dr
San Marcos, CA 92069-3281
Phone (760) 484-3460

Other practice location 1

6991 Balboa Ave
San Diego, CA 92111-3447
Phone (858) 496-8232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220201001501 CA Practitioner - Nurse Practitioner 6305239096 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of San MateoGroup PAC ID 9032023171, shared by 15 NPIs, 316 clinicians
Cep America - CaliforniaGroup PAC ID 6103739131, 1,278 clinicians

Practice addresses (Care Compare)

22 W 39TH Ave
Hos316Ms
San Mateo, CA 94403-4364

222 W 39TH Ave
San Mateo, CA 94403-4364

28062 Baxter Rd
Murrieta, CA 92563-1401
Phone (951) 290-4000

306 Spruce Ave
South San Francisco, CA 94080-2741
Phone (650) 573-2222

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Current Accepting new patients
Cep America - California CurrentSince Sep 10, 2024 Accepting new patients
Dymphna San Diego TMS Inc CurrentSince Sep 23, 2023 Accepting new patients
County of San Mateo CurrentSince Jun 12, 2025 Accepting new patients
Urgent Care and Tranquil Mind Center CurrentSince Dec 28, 2025 Accepting new patients
Nes Western Group, a Professional Corporation CurrentSince Dec 6, 2022 Accepting new patients
County of San Mateo CurrentSince Jun 12, 2025 Accepting new patients
Om Behavioral Health Corp CurrentSince Feb 21, 2024 Accepting new patients
Essenza Mind & Body Longevity Clinic CurrentSince Jun 8, 2026 Accepting new patients
City and County of San Francisco CurrentSince Apr 28, 2025 Accepting new patients
Nes Western Group, a Professional Corporation CurrentSince Dec 6, 2022 Accepting new patients
Cep America-California CurrentSince Sep 10, 2024 Accepting new patients
City & County of San Francisco CurrentSince Apr 28, 2025 Accepting new patients
Genesis Medical Health a Professional Corporation CurrentSince May 14, 2024 Accepting new patients
County of San Mateo CurrentSince Jun 12, 2025 Accepting new patients
City & County of San Francisco Current Accepting new patients
Carbon Health Primary Care of California PC PastSince Jul 20, 2025 Accepting new patients

Locations

374 H St
Ste 201
Chula Vista, CA 91910
Phone (619) 349-0949

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

1155 E Grand Ave
Ste 10
Escondido, CA 92025
Phone (760) 644-4027

27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000

4508 W Imperial Hwy
Inglewood, CA 90304
Phone (760) 978-8596

8950 Villa La Jolla Dr
Ste C212
La Jolla, CA 92037
Phone (858) 534-4105

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

600 Marine Blvd
Moss Beach, CA 94038
Phone (650) 563-7100

28062 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

2255 Ygnacio Valley Rd
Ste W
Walnut Creek, CA 94598
Phone (925) 378-4884

Interoperability endpoints

  • Direct secure messaging: apacis1280584@direct.llu.edu
  • Direct secure messaging: apacis35417@smch.direct-ci.com

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

Hospital & facility affiliations 10

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": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1194323121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1886 EAGLE ROCK DR",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693281",
            "telephone_number": "760-484-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161500",
            "telephone_number": "408-259-3022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6991 Balboa Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921113447",
            "country_code": "US",
            "telephone_number": "858-496-8232",
            "fax_number": "858-496-8234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACIS",
        "first_name": "ANA",
        "middle_name": "WONG",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95015621",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95015621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.