Individual provider Active NPI

Emily Kyin Wong, M.D.

  • Psychiatry Physician
  • San Jose, CA
National Provider Identifier
1336273291
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A78251 Issued in CA
Practice address
1991 McKee Rd
San Jose, CA 95116-1406
Phone
(408) 926-7950
Fax
(408) 926-7949
NPI assigned
Mar 15, 2007
Last updated
Feb 29, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A78251 CA Primary

Addresses

Primary practice location

1991 McKee Rd
San Jose, CA 95116-1406

Mailing address

1991 McKee Rd
San Jose, CA 95116-1406
Phone (408) 926-7950

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
I20060111000593 CA Practitioner - Psychiatry 4789607110 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A78251CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Feb 20, 2019 Accepting new patients
County of Santa Clara CurrentSince Oct 7, 2005 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara Psychiatry CurrentSince Mar 20, 2019 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Oct 7, 2005 Accepting new patients
Catholic Charities of Santa Clara County CurrentSince Oct 16, 2017 Accepting new patients
Catholic Charities of Santa Clara County CurrentSince Oct 16, 2017 Accepting new patients
County of Santa Clara CurrentSince Aug 20, 2011 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara Psychiatry Current Accepting new patients

Locations

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

1650 Las Plumas Ave
Ste K
San Jose, CA 95133
Phone (408) 272-6726

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

1075 E Santa Clara St
San Jose, CA 95116
Phone (408) 299-6175

2625 Zanker Rd
Ste 200
San Jose, CA 95134
Phone (408) 396-7969

1991 McKee Rd
San Jose, CA 95116
Phone (408) 926-7950

2625 Zanker Rd
San Jose, CA 95134
Phone (408) 325-5120

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

2221 Enborg Ln
San Jose, CA 95128
Phone (408) 885-6220

1887 Monterey Hwy
Ste 205
San Jose, CA 95112
Phone (408) 494-1561

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

820 Enborg Ct
San Jose, CA 95128
Phone (408) 885-6161

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

Interoperability endpoints

  • Direct secure messaging: ewong11748@santaclaravalley.direct-ci.net

Organizations & group practices 11

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1336273291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 MCKEE RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161406",
            "telephone_number": "408-926-7950",
            "fax_number": "408-926-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 MCKEE RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161406",
            "telephone_number": "408-926-7950",
            "fax_number": "408-926-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "EMILY",
        "middle_name": "KYIN",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A78251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.