Individual provider Active NPI

Wesley Orianna Wong, MD

  • Pediatrics Physician
  • Pleasanton, CA
National Provider Identifier
1275065039
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A158779 Issued in CA
Practice address
5720 Stoneridge Mall Rd Ste 240
Pleasanton, CA 94588-2830
Phone
(925) 463-1234
Fax
(925) 463-1234
NPI assigned
Mar 31, 2017
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A158779 CA Primary

Addresses

Primary practice location

5720 Stoneridge Mall Rd Ste 240
Pleasanton, CA 94588-2830

Mailing address

5720 Stoneridge Mall Rd Ste 240
Pleasanton, CA 94588-2830

Other practice location 1

455 E Columbia St
Long Beach, CA 90806-1620
Phone (844) 822-4646

Other practice location 2

505 S Main St Ste 525
Orange, CA 92868-4553
Phone (714) 456-5631

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200611002319 CA Practitioner - Pediatric Medicine 5597093757 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
UC Regents Uci Dept of Pediatrics Pediatrics CurrentSince Jul 1, 2020 Accepting new patients
LPCH Medical Group Div of Lucile Pediatrics CurrentSince May 29, 2025 Accepting new patients
University of California Irvine CurrentSince Jul 1, 2020 Accepting new patients
University of California Irvine CurrentSince Jul 1, 2020 Accepting new patients
University of California Irvine Past Accepting new patients
Bayside Medical Group, Inc Pediatrics PastSince Aug 17, 2025 Accepting new patients

Locations

300 W Carl Karcher Way
Anaheim, CA 92801
Phone (657) 282-6356

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

800 N Main St
Santa Ana, CA 92701
Phone (714) 456-6324

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1275065039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 STONERIDGE MALL RD STE 240",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 STONERIDGE MALL RD STE 240",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882830",
            "telephone_number": "925-463-1234",
            "fax_number": "925-463-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 E Columbia St",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908061620",
            "country_code": "US",
            "telephone_number": "844-822-4646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 S Main St Ste 525",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928684553",
            "country_code": "US",
            "telephone_number": "714-456-5631",
            "fax_number": "714-285-0389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "WESLEY",
        "middle_name": "ORIANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A158779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.