Jessica Carol-Macias Wong, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95164589 Issued in CA

Practice address

15358 San Bruno Dr
La Mirada, CA 90638-5727

Phone

(714) 420-5268

NPI assigned

Sep 6, 2019

Last updated

Sep 6, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Jessica Wong Nurse Practitioner

  • Nurse Practitioner
  • La Mirada, CA
  • NPI 1417721770
  NPD Authorized official
• Restorative Home Health LLC

  • Home Health Agency
  • Santa Fe Springs, CA
  • NPI 1659185411
  NPD Authorized official
• Wound Away

  dba Wound Away Inc

  • Clinic/Center
  • Santa Fe Springs, CA
  • NPI 1205671773
  NPD Authorized official
• J & S Management Services LLC

  • Multi-Specialty Clinic/Center
  • La Mirada, CA
  • NPI 1639940950
  Authorized official Same address or phone

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1326697855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15358 SAN BRUNO DR",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906385727",
            "telephone_number": "714-420-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15358 SAN BRUNO DR",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906385727",
            "telephone_number": "714-420-5268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "JESSICA",
        "middle_name": "CAROL-MACIAS",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95164589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chung Sook Whang
• Dana White
• John Wiese, ATC
• William M. Thomas, D.C., Inc., a Chirorpactic Corporation (William M. Thomas, D.C.)
• Kristoffer Witowich
• Wayne L. Wong, D.D.S.
• James Michael Woody, PSY.D.
• Naghmeh Yadegar, D.D.S.
• Grace Yang, M.A., CCC-SLP
• Jae Woom Yang Sr., ACUPUNCTURE

• Registered Nurse in La Mirada, CA
• Providers in La Mirada, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.