Karen Rosetta Wong, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A183495 Issued in CA

Practice address

1685 East Home Ave
Fresno, CA 93728

Phone

(559) 457-6900

Fax

(559) 400-8432

NPI assigned

May 6, 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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Clinica Sierra Vista

  dba Orange and Butler Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Fresno, CA
  • NPI 1740439314
  Medicare reassignment NPD
• Clinica Sierra Vista

  dba Lamont Pharmacy

  • Community/Retail Pharmacy
  • Lamont, CA
  • NPI 1275161325
  NPD
• Clinica Sierra Vista

  dba Central Bakersfield Community Health Center

  • Non-Surgical Family Planning Clinic/Center
  • Bakersfield, CA
  • NPI 1073647350
  NPD (past)
• Clinica Sierra Vista

  dba Kern River Health Center

  • Medical Specialty Clinic/Center
  • Wofford Heights, CA
  • NPI 1992829758
  NPD (past)

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1447815410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 EAST HOME AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93728",
            "telephone_number": "559-457-6900",
            "fax_number": "559-400-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 EAST HOME AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93728",
            "telephone_number": "559-457-6900",
            "fax_number": "559-400-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "KAREN",
        "middle_name": "ROSETTA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A183495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Wong, NP
• Jeremy Gai Haing Wong, PHARMD
• John Albert Wong, MD
• Kali Wong
• Karen Wong
• Kyong Jin Wong, PHARMD
• Ling Wong, M.A., B.C.B.A.
• Melanie Stacy Wong, CRNA
• Mitchell Derek Wong, PHARMD
• Patricia Wong, NP

• Pediatrics Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.