Suzanna Kreemer Wong, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

34481 Issued in CA

Practice address

10737 Camino Ruiz Ste 235
San Diego, CA 92126-2375

Phone

(844) 200-2426

NPI assigned

Oct 5, 2020

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Twin Waves Wellness Center

  • Neurology Chiropractor
  • Solana Beach, CA
  • NPI 1104563543
  NPD Authorized official

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603497600000",
    "number": "1417554387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34565 CALLE PORTOLA",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926241043",
            "telephone_number": "831-227-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10737 CAMINO RUIZ STE 235",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262375",
            "telephone_number": "844-200-2426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "990 Highland Dr Ste 110Y",
            "address_purpose": "LOCATION",
            "city": "Solana Beach",
            "state": "CA",
            "postal_code": "920753403",
            "country_code": "US",
            "telephone_number": "760-487-8106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "SUZANNA",
        "middle_name": "KREEMER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-24",
        "certification_date": "2020-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Wong
• Raymond Wong
• Seong Yeon Park Wong, MD
• Sophie You Wong, MD
• Steven Wong, M.D.
• Timothy Wong
• Tina Bynn Wong, MD
• Vanessa Lee Wong, M.D.
• Victor Wong, M.D.
• Victor Y Wong, MD

• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2020; 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.