Active NPI
Janice Anh Wong, PHAM.D.
- Pharmacist
- Fountain Valley, CA
National Provider Identifier
1407980790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 53880
- Practice address
- Fountain Valley Regional Hospital and Medical Center
17100 Euclid Street
Fountain Valley, CA 92708-8010 - Phone
- (714) 966-8115
- NPI assigned
- Mar 16, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 53880 | CA | Primary |
Addresses
Primary practice location
Fountain Valley Regional Hospital and Medical Center
17100 Euclid Street
Fountain Valley, CA 92708-8010
Mailing address
1772 Taylor LN
Placentia, CA 92870
Phone (714) 792-3683
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
- Doctor of Pharmacy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407980790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1772 TAYLOR LN",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "92870",
"telephone_number": "714-792-3683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FOUNTAIN VALLEY REGIONAL HOSPITAL AND MEDICAL CENTER",
"address_2": "17100 EUCLID STREET",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927088010",
"telephone_number": "714-966-8115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "JANICE",
"middle_name": "ANH",
"credential": "PHAM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "53880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.