Carmen W Wong

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5865 Issued in CA

Practice address

165 Rowland Way Ste 206
Novato, CA 94945-5055

Phone

(415) 898-9818

Fax

(415) 892-3475

NPI assigned

Apr 3, 2019

Sex

Female

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: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

San Francisco Foot and Ankle Center a Podiatry Group IncGroup PAC ID 5597739821, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novato Community Hospital Hospital, Novato, CA, CCN 050131

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cwong622985@hisp.ehr.sutterhealth.org
• FHIR API: https://fhir-myrecord.cerner.com/r4/3dd204c7-56e5-4b85-94ad-73d0aa33f7f3/

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.

• San Francisco Foot and Ankle Center, a Podiatry Group Inc

  • Podiatrist
  • Novato, CA
  • NPI 1770636045
  Medicare reassignment Care Compare group NPD
• Vincent C. Marino, DPM, Inc.

  • Podiatrist
  • San Francisco, CA
  • NPI 1184659534
  Medicare reassignment NPD
• San Francisco Foot and Ankle Center

  • Podiatrist
  • San Francisco, CA
  • NPI 1467506394
  NPD
• Vincent C. Marino, DPM, Inc

  • Podiatrist
  • Sacramento, CA
  • NPI 1306937230
  NPD
• Marin General Hospital

  • General Acute Care Hospital
  • Greenbrae, CA
  • NPI 1396725677
  NPD (past)
• SRM Alliance Hospital Services

  • Skilled Nursing Facility
  • Petaluma, CA
  • NPI 1770703886
  NPD (past)
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Novato, CA
  • NPI 1104059153
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Novato, CA
  • NPI 1104059153
  Care Compare affiliation

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1447712906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 ROWLAND WAY STE 206",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455055",
            "telephone_number": "415-898-9818",
            "fax_number": "415-892-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 ROWLAND WAY STE 206",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455055",
            "telephone_number": "415-898-9818",
            "fax_number": "415-892-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "CARMEN",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "5865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Lynne Wilson, MFT
• Donald Lewis Wilson, DDS, MSD
• Robert L Wirth, M.D.
• Ariane Wlasak, DAOM, L.AC.
• Larissa Rose Wolford, M.A., LMFT
• Katrina A. Woo Cabarrus, M.D.
• Betty S. Wood, LCSW
• Ping Wu, P.T.
• Tianyun Wu, PH.D.
• Jennifer Rose Fulton Wurtz, MA

• Podiatrist in Novato, CA
• Providers in Novato, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.