Active NPI
Anna Pon Wong, PHARM.D.
- Nutrition Support Pharmacist
- Modesto, CA
National Provider Identifier
1275737108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Support Pharmacist
- License
- RPH 31492
- Practice address
- 4601 Dale Rd.
Modesto, CA 95356-9718 - Phone
- (209) 735-3030
- NPI assigned
- Jun 13, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH 31492 | CA | |
| Nutrition Support Pharmacist | 1835N1003X | RPH 31492 | CA | Primary |
| Oncology Pharmacist | 1835X0200X | RPH 31492 | CA |
Addresses
Primary practice location
4601 Dale Rd.
Modesto, CA 95356-9718
Mailing address
2408 Chianti Cir
Modesto, CA 95356-0667
Phone (209) 521-4735
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH 31492 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1275737108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2408 CHIANTI CIR",
"city": "MODESTO",
"state": "CA",
"postal_code": "953560667",
"telephone_number": "209-521-4735",
"fax_number": "209-521-4735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 DALE RD.",
"city": "MODESTO",
"state": "CA",
"postal_code": "953569718",
"telephone_number": "209-735-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "ANNA",
"middle_name": "PON",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 31492",
"primary": false
},
{
"code": "1835N1003X",
"taxonomy_group": "",
"desc": "Pharmacist, Nutrition Support",
"state": "CA",
"license": "RPH 31492",
"primary": true
},
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "CA",
"license": "RPH 31492",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.