Kathryn Nicole Wong

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3413 W Pacific Ave
Burbank, CA 91505-1555

Phone

(818) 841-3936

NPI assigned

Oct 18, 2022

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

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Providence Facey Medical FoundationGroup PAC ID 3173436276, 324 clinicians

Orthopaedic Surgery Specialists BurbankGroup PAC ID 1153631601, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Majesty Home Health Home health agency, Northridge, CA, CCN 058283
• Providence Saint Joseph Medical Ctr Hospital, Burbank, CA, CCN 050235

Merit-based Incentive Payment System (MIPS)

Final score

84.87 of 100Reported as group

Quality

72.95

Promoting interoperability

90

Improvement activities

40

Cost

68.29

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: kwong2843495@oc.providencedirect.org

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.

• Orthopaedic Surgery Specialists Burbank

  • Orthopaedic Surgery Physician
  • Burbank, CA
  • NPI 1063690592
  Medicare reassignment Care Compare group NPD
• Providence Facey Medical Foundation

  dba Facey Medical Group

  • Internal Medicine Physician
  • Valencia, CA
  • NPI 1710031588
  Medicare reassignment Care Compare group NPD
• Orthopaedic Surgery Specialists Burbank

  • Orthopaedic Surgery Physician
  • Burbank, CA
  • NPI 1184328973
  NPD
• Providence Facey Medical Foundation

  dba Providence Express Care

  • Multi-Specialty Clinic/Center
  • Irvine, CA
  • NPI 1891348447
  NPD

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

• Majesty Home Health, Inc.

  • Home Health Agency
  • Northridge, CA
  • NPI 1962462077
  Care Compare affiliation
• Providence Health System - Southern California

  dba Providence Saint Joseph Medical Center

  • General Acute Care Hospital
  • Burbank, CA
  • NPI 1336173269
  Care Compare affiliation

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673049600000",
    "number": "1366168676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13351 RIVERSIDE DR # 388D",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3413 W PACIFIC AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915051555",
            "telephone_number": "818-841-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "KATHRYN",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2023-01-07",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan K Wong, MD
• Brittaney Victoria Wong
• Grace I Wong, M.D.
• Jenny C Wong, PHARMD
• Karlton Wong, MD
• Jeanie Woo, MD
• Jong Duk Woo
• Ron A Wood, D.C.
• Diane J Wooton, LMFT
• Lauren Elizabeth Worley, LCSW

• Physician Assistant in Burbank, CA
• Providers in Burbank, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.