Individual provider Active NPI

Stephen Wong

  • Occupational Therapist
  • Encino, CA
National Provider Identifier
1346923448
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
25299 Issued in CA
Practice address
15928 Ventura Blvd Ste 218
Encino, CA 91436-4413
Phone
(818) 518-9709
NPI assigned
Aug 8, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 25299 CA Primary

Addresses

Primary practice location

15928 Ventura Blvd Ste 218
Encino, CA 91436-4413

Mailing address

690 S Marengo Ave Unit 6
Pasadena, CA 91106-4741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231222001043 CA Practitioner - Occupational Therapist in Private Practice 4587014105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meridian Hand Therapy, IncGroup PAC ID 1456385368, 6 clinicians

Practice addresses (Care Compare)

696 Hampshire Rd
180A
Westlake Village, CA 91361-2699
Phone (805) 497-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Hand Therapy Inc CurrentSince Feb 3, 2026 Accepting new patients
Meridian Hand Therapy Inc Occupational Therapist CurrentSince Feb 3, 2026 Accepting new patients
Novum Therapy Partners, Inc. Occupational Therapist PastSince Aug 13, 2023 Accepting new patients

Locations

18911 Nordhoff St
Ste 37
Northridge, CA 91324
Phone (818) 435-2800

696 Hampshire Rd
Ste 180A
Westlake Village, CA 91361
Phone (805) 497-1700

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1346923448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 S MARENGO AVE UNIT 6",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911064741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15928 VENTURA BLVD STE 218",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364413",
            "telephone_number": "818-518-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "STEPHEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "25299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.