Active NPI
Losa Wong, PSY.D.
- Clinical Psychologist
- Oakland, CA
National Provider Identifier
1255531869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY23801
- Practice address
- 212 9TH St
Suite 215
Oakland, CA 94607-4456 - Phone
- (510) 473-6605
- Fax
- (510) 521-5891
- NPI assigned
- Jul 21, 2007
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY23801 | CA | Primary |
Addresses
Primary practice location
212 9TH St
Suite 215
Oakland, CA 94607-4456
Mailing address
PO Box 2338
Alameda, CA 94501-0232
Phone (510) 473-6605
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 |
|---|---|---|---|
| PSY23801 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312416000000",
"number": "1255531869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2338",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945010232",
"telephone_number": "510-473-6605",
"fax_number": "510-521-5891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 9TH ST",
"address_2": "SUITE 215",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946074456",
"telephone_number": "510-473-6605",
"fax_number": "510-521-5891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "LOSA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-21",
"last_updated": "2011-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY23801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.