Kimberly Wong, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

33494 Issued in CA

Practice address

21730 Stevens Creek Blvd Ste 102
Cupertino, CA 95014-1171

Phone

(408) 255-2592

Fax

(408) 255-9650

NPI assigned

Mar 25, 2016

Last updated

Mar 25, 2016By the provider in NPPES

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

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: kimberly.wong.1@19661.direct.athenahealth.com

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458864000000",
    "number": "1497117659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21730 STEVENS CREEK BLVD STE 102",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950141171",
            "telephone_number": "408-255-2592",
            "fax_number": "408-255-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21730 STEVENS CREEK BLVD STE 102",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950141171",
            "telephone_number": "408-255-2592",
            "fax_number": "408-255-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "KIMBERLY",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Winn, O.D.
• With Me Psychotherapy Licensed Clinical Social Worker PC
• Ching Hsin Wong, D.D.S.
• Dylan Wong
• Hung-Kwong Wong, M.D.
• Liam Wong
• Roy K. Wong, MD
• Bobbie B Woods, MSW LCSW
• Rochelle Johnson Woods, MD
• Joel Christopher Work, MSW

• Chiropractor in Cupertino, CA
• Providers in Cupertino, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.