Individual provider Active NPI

Lesley Wong, FNP-BC

  • Family Nurse Practitioner
  • Santa Ana, CA
National Provider Identifier
1356869184
Registry record updated Aug 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95007087 Issued in CA
Practice address
1001 N Tustin Ave
Santa Ana, CA 92705-3502
Phone
(714) 953-3500
NPI assigned
Aug 31, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95007087 CA Primary

Addresses

Primary practice location

1001 N Tustin Ave
Santa Ana, CA 92705-3502

Mailing address

1005 S Explorer Way
Anaheim, CA 92808-1691
Phone (949) 466-6477

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180605002101 CA Practitioner - Nurse Practitioner 2668737081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4646 Brockton Ave
Suite 203
Riverside, CA 92506-0104
Phone (951) 394-7028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95007087CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Oncology Institute Ca, a Professional Corporation CurrentSince Oct 20, 2025 Accepting new patients
Starling Oncology Ca, a Professional Corporation CurrentSince Oct 20, 2025 Accepting new patients
Starling Oncology FL, LLC Past Accepting new patients

Locations

900 S Main St
Ste 204
Corona, CA 92882
Phone (951) 372-2400

11100 Warner Ave
Ste 214
Fountain Vly, CA 92708
Phone (714) 594-7820

3300 E South St
Ste 304
Lakewood, CA 90805
Phone (562) 232-0550

4646 Brockton Ave
Ste 203-2
Riverside, CA 92506

4646 Brockton Ave
Ste 203
Riverside, CA 92506
Phone (951) 394-7028

399 E Highland Ave
Ste 501
Sn Bernrdno, CA 92404
Phone (909) 982-4252

425 Haaland Dr
Ste 103
Thousand Oaks, CA 91361
Phone (805) 345-2020

2067 W Vista Way
Ste 295
Vista, CA 92083
Phone (526) 735-3226

Interoperability endpoints

  • Direct secure messaging: lesley.wong@theoncologyinstitute.ikm.direct-ci.com

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": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504137600000",
    "number": "1356869184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 S EXPLORER WAY",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081691",
            "telephone_number": "949-466-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053502",
            "telephone_number": "714-953-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "LESLEY",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.