Individual provider Active NPI

Carrie Ka Lei Wong, D.D.S

  • Dentist
  • Torrance, CA
National Provider Identifier
1386956407
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60667 Issued in CA
Practice address
3500 Lomita Boulevard
Suite 103
Torrance, CA 90505-5021
Phone
(310) 530-7011
Fax
(310) 530-1334
NPI assigned
Jul 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 60667 CA
Public Health Dentistry 1223D0001X 60667 CA
Dentist 122300000X 60667 CA Primary

Addresses

Primary practice location

3500 Lomita Boulevard
Suite 103
Torrance, CA 90505-5021

Mailing address

3500 Lomita Boulevard
Suite 103
Torrance, CA 90505-5021
Phone (310) 530-7011

Other names 1

  • Dr. Carrie Ka Lei Wong Professional name

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

State licenses

LicenseStateTypeSpecialty
60667CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Steve T. Yabuno DDS, PC General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cwong137522@direct.ochin.org

Organizations & group practices 1

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": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1386956407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 LOMITA BOULEVARD",
            "address_2": "SUITE 103",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055021",
            "telephone_number": "310-530-7011",
            "fax_number": "310-530-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 LOMITA BOULEVARD",
            "address_2": "SUITE 103",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055021",
            "telephone_number": "310-530-7011",
            "fax_number": "310-530-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "CARRIE",
        "middle_name": "KA LEI",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-06",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60667",
            "primary": false
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "CA",
            "license": "60667",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "60667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "WONG",
            "middle_name": "KA LEI",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.

Verify at the official NPI Registry.