Richard Wong

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

16962 Issued in CA

Practice address

3019 Ocean Park Blvd # 644
Santa Monica, CA 90405-3004

Phone

(415) 413-3975

NPI assigned

Aug 20, 2021

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 AZ, CA2 enrollments

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 2

Medicare enrollment (NPD)

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.

• Fusion Care Group, a Psychological Professional Corporation

  • Clinical Psychologist
  • Alpine, CA
  • NPI 1275177982

  AZ

  Medicare reassignment NPD
• The Los Angeles Free Clinic

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1194893248
  Medicare reassignment
• The Los Angeles Free Clinic

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1336281179
  NPD
• The Los Angeles Free Clinic

  • Community/Retail Pharmacy
  • Los Angeles, CA
  • NPI 1558740852
  NPD

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1487320214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 OCEAN PARK BLVD # 644",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053004",
            "telephone_number": "415-413-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 OCEAN PARK BLVD # 644",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053004",
            "telephone_number": "415-413-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "RICHARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-20",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "16962",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-20151",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Wong, DPT
• Kenneth Ken-Yip Wong, DDS
• King Yue Wong, OD
• Matthew Wong, P.T.
• Michael Dennis Wong, D.D.S.
• Steven Gene Wei Wong, MD
• Timothy Kenji Wong, PH.D.
• William Samuel Wong, DDS
• Craighton Brian Woo, D.D.S., M.S.
• Charles Conley Wood, D.D.S.

• Professional Counselor in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.