Active NPI
Monica C Wong, RN, PHN
- Registered Nurse
- San Jose, CA
National Provider Identifier
1376894881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN 493136
- Practice address
- 976 Lenzen Ave Ste 1800
San Jose, CA 95126-2737 - Phone
- (408) 792-5576
- Fax
- (408) 792-5506
- NPI assigned
- Sep 24, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN 493136 | CA | Primary |
| Registered Nurse | 163W00000X | PHN 50866 | CA |
Addresses
Primary practice location
976 Lenzen Ave Ste 1800
San Jose, CA 95126-2737
Mailing address
976 Lenzen Ave Ste 1800
San Jose, CA 95126-2737
Phone (408) 792-5576
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHN 50866 | CA | MD | Registered Nurse |
| RN 493136 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348444800000",
"number": "1376894881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "976 LENZEN AVE STE 1800",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951262737",
"telephone_number": "408-792-5576",
"fax_number": "408-792-5506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "976 LENZEN AVE STE 1800",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951262737",
"telephone_number": "408-792-5576",
"fax_number": "408-792-5506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "MONICA",
"middle_name": "C",
"credential": "RN, PHN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-24",
"last_updated": "2012-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "RN 493136",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "PHN 50866",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.