Active NPI
William Ieng Wong, D.C.
- Chiropractor
- Temple City, CA
National Provider Identifier
1306168711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 21175DC
- Practice address
- 5801 Rosemead Blvd
Temple City, CA 91780-1852 - Phone
- (626) 451-0128
- Fax
- (626) 451-0850
- NPI assigned
- Feb 26, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 21175DC | CA | Primary |
| Orthopedic Chiropractor | 111NX0800X | 21175DC | CA |
Addresses
Primary practice location
5801 Rosemead Blvd
Temple City, CA 91780-1852
Mailing address
5801 Rosemead Blvd
Temple City, CA 91780-1852
Phone (626) 451-0128
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 |
|---|---|---|---|
| 21175DC | CA | MD | Orthopedic Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267142400000",
"number": "1306168711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5801 ROSEMEAD BLVD",
"city": "TEMPLE CITY",
"state": "CA",
"postal_code": "917801852",
"telephone_number": "626-451-0128",
"fax_number": "626-451-0850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 ROSEMEAD BLVD",
"city": "TEMPLE CITY",
"state": "CA",
"postal_code": "917801852",
"telephone_number": "626-451-0128",
"fax_number": "626-451-0850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "WILLIAM",
"middle_name": "IENG",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-26",
"last_updated": "2010-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "21175DC",
"primary": true
},
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "CA",
"license": "21175DC",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temple City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.