Jason Frank Wong, BOCO BOCP

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

C50840

Practice address

8143 Gandy Dancer Way
Sacramento, CA 95823-5928

Phone

(916) 752-8905

NPI assigned

Oct 10, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1245705805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8143 GANDY DANCER WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235928",
            "telephone_number": "916-752-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8143 GANDY DANCER WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235928",
            "telephone_number": "916-752-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "JASON",
        "middle_name": "FRANK",
        "credential": "BOCO BOCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": "C50840",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": "C50840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Hill Lin Wong, M.D.
• Harry Wong, PHARM.D.
• Hongdara Wong, DNP
• Ian Douglas Wong
• Janis Trimble Wong, OT
• Jessica Wong, DPT
• Jessica Wong
• Joanna Chen Wong, M.D. M.P.H.
• Josephine Wong
• Judy M. Wong, MD

• Prosthetist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Prosthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.