Active NPI
Diana Wong
- Pharmacist
- Arroyo Grande, CA
National Provider Identifier
1205647153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH90493
- Practice address
- 1207 E Grand Ave
Arroyo Grande, CA 93420-2419 - Phone
- (805) 489-1830
- NPI assigned
- Jan 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH90493 | CA | Primary |
Addresses
Primary practice location
1207 E Grand Ave
Arroyo Grande, CA 93420-2419
Mailing address
7128 Glenview Dr
San Jose, CA 95120-4183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH90493 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
-
- Community/Retail Pharmacy
- Arroyo Grande, CA
- NPI 1699886945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1205647153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7128 GLENVIEW DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951204183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 E GRAND AVE",
"city": "ARROYO GRANDE",
"state": "CA",
"postal_code": "934202419",
"telephone_number": "805-489-1830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "DIANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-17",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH90493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arroyo Grande, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.