NPIMap

Individual provider Active NPI

Christabelle N Wong, PA-C

  • Surgical Physician Assistant
  • Chandler, AZ
National Provider Identifier
1356305890
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
2725 Issued in AZ
Practice address
975 E Riggs Rd
Suite 12-268
Chandler, AZ 85249-4260
Phone
(480) 634-5521
Fax
(480) 248-9011
NPI assigned
Apr 13, 2006
Last updated
Dec 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 2725 AZ Primary

Addresses

Primary practice location

975 E Riggs Rd
Suite 12-268
Chandler, AZ 85249-4260

Mailing address

975 E Riggs Rd
Suite 12-268
Chandler, AZ 85249-4260
Phone (480) 634-5521

Other identifiers 3

IdentifierTypeStateIssuer
3Z0050OtherAZHEALTHNET OF AZ
872889MedicaidAZ
P00386339OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040810001007 AZ Practitioner - Physician Assistant 1052383031 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

10510 N 92ND St
Scottsdale, AZ 85258-4566

19636 N 27TH Ave
Suite 201
Phoenix, AZ 85027-4015
Phone (623) 516-4400

7400 E Thompson Peak Pkwy
Scottsdale, AZ 85255-4109
Phone (480) 324-7000

9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (480) 323-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2725AZMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory Surgical CurrentSince Oct 14, 2025 Accepting new patients
Honorhealth Ambulatory CurrentSince Oct 14, 2025 Accepting new patients
Honorhealth Ambulatory Surgical Past Accepting new patients
Surgical Physicians Assistants Inc Surgical Past Accepting new patients

Locations

15000 N 83rd Ave
Unit 205
Peoria, AZ 85381
Phone (602) 663-9371

19646 N 27th Ave
Ste 201
Phoenix, AZ 85027
Phone (602) 663-9371

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

Interoperability endpoints

  • Direct secure messaging: cwong122604@direct.honorhealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1356305890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 E RIGGS RD",
            "address_2": "SUITE 12-268",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852494260",
            "telephone_number": "480-634-5521",
            "fax_number": "480-248-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 E RIGGS RD",
            "address_2": "SUITE 12-268",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852494260",
            "telephone_number": "480-634-5521",
            "fax_number": "480-248-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "CHRISTABELLE",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "2725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET OF AZ",
            "identifier": "3Z0050",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "872889",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00386339",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.