Active NPI
Ewen Wong, NP
- Acute Care Nurse Practitioner
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 95030504
- Practice address
- 3855 Arboleda St
Pasadena, CA 91107-2251 - Phone
- (480) 234-5199
- NPI assigned
- Jun 21, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 95030504 | CA | Primary |
Addresses
Primary practice location
3855 Arboleda St
Pasadena, CA 91107-2251
Mailing address
3855 Arboleda St
Pasadena, CA 91107-2251
Phone (480) 234-5199
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1411 S Garfield Ave
Suite 306
Alhambra, CA 91801-5045
Phone (626) 312-9500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95030504 | CA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starling Oncology Ca, a Professional Corporation | Current | Accepting new patients | |
| The Oncology Institute Ca, a Professional Corporation | Current | Accepting new patients |
Locations
1411 S Garfield Ave
Ste 306
Alhambra, CA 91801
Phone (626) 312-9500
18000 Studebaker Rd
Ste 800
Cerritos, CA 90703
900 S Main St
Ste 204
Corona, CA 92882
Phone (951) 372-2400
11100 Warner Ave
Ste 214
Fountain Vly, CA 92708
Phone (714) 594-7820
3300 E South St
Ste 304
Lakewood, CA 90805
Phone (562) 232-0550
399 E Highland Ave
Ste 501
Sn Bernrdno, CA 92404
Phone (909) 982-4252
425 Haaland Dr
Ste 103
Thousand Oaks, CA 91361
Phone (805) 345-2020
2067 W Vista Way
Ste 295
Vista, CA 92083
Phone (526) 735-3226
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1225514508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1285478669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3855 ARBOLEDA ST",
"city": "PASADENA",
"state": "CA",
"postal_code": "911072251",
"telephone_number": "480-234-5199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3855 ARBOLEDA ST",
"city": "PASADENA",
"state": "CA",
"postal_code": "911072251",
"telephone_number": "480-234-5199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "EWEN",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-21",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "95030504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.