Individual provider Active NPI

Sandy H Wong, O.M.D.

  • Acupuncturist
  • San Jose, CA
National Provider Identifier
1245333582
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
CA7393 Issued in CA
Practice address
2040 Forest Ave. Suite 8
San Jose, CA 94086-4816
Phone
(408) 688-6947
Fax
(408) 369-8866
NPI assigned
Sep 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X CA7393 CA Primary

Addresses

Primary practice location

2040 Forest Ave. Suite 8
San Jose, CA 94086-4816

Mailing address

2040 Forest Ave Ste 8
San Jose, CA 95128-4816
Phone (408) 688-6947

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

LicenseStateTypeSpecialty
CA7393CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245333582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 FOREST AVE STE 8",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284816",
            "telephone_number": "408-688-6947",
            "fax_number": "408-369-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 FOREST AVE. SUITE 8",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "940864816",
            "telephone_number": "408-688-6947",
            "fax_number": "408-369-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "SANDY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "O.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "CA7393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.