Wesley Wayne Wong, MFTI

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

47847 Issued in CA

Practice address

1003 E Cooley Dr Ste 211
Colton, CA 92324-3907

Phone

(909) 429-3244

Fax

(909) 981-0821

NPI assigned

Aug 29, 2007

Last updated

Jul 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Inland Empire Behavioral Group Nursing CorporationGroup PAC ID 4880089390, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inland Empire Behavioral Group Nursing Corporation

  • Multi-Specialty Clinic/Center
  • Riverside, CA
  • NPI 1104570282
  Medicare reassignment Care Compare group NPD
• Brainiac Medical Corporation

  • Psychiatry Physician
  • Orange, CA
  • NPI 1699472183

  Marriage & Family Therapist

  NPD

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1437343894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 E COOLEY DR STE 211",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243907",
            "telephone_number": "909-429-3244",
            "fax_number": "909-981-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 E COOLEY DR STE 211",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243907",
            "telephone_number": "909-429-3244",
            "fax_number": "909-981-0821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9990 County Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925033542",
            "country_code": "US",
            "telephone_number": "951-358-7380",
            "fax_number": "951-358-7306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1007 E Cooley Dr Ste 111",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923243901",
            "country_code": "US",
            "telephone_number": "909-300-0661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "WESLEY",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "MFTI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-29",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "47847",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Wong, PHARM D
• Patricia Wong, M.D.
• Shirley Patricia Wong, DO
• Vivian Wing-Wan Wong
• Webster Andrew Wong, MD
• Monica Mei-Yuk Woo, P.A-C
• Barry A Wood, RPT
• Blake Allen Wood, DNAP, CRNA
• David Lyman Wood, M.D.
• Sharron Woodford - Beale, CADC CAS

• Marriage & Family Therapist in Colton, CA
• Providers in Colton, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.