Harold Wong, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA16668 Issued in CA

Practice address

23823 Valencia Blvd Ste 160
Valencia, CA 91355-9512

Phone

(661) 254-0026

NPI assigned

Apr 5, 2011

Last updated

Dec 15, 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 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Dennis Patrick Lewis,MD,

  • Family Medicine Physician
  • Valencia, CA
  • NPI 1710183140
  Medicare reassignment

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1528357175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23823 VALENCIA BLVD STE 160",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913559512",
            "telephone_number": "661-254-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23823 VALENCIA BLVD STE 160",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913559512",
            "telephone_number": "661-254-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "HAROLD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-05",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA16668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Wims, B.S. PT
• Michelle A Witkin, PH.D.
• Nathaniel D Witmer, D.P.M.
• Erik James Wolpert, PT
• David T Wong, O.D.
• Paul Wong
• Sherwin Wong, NP
• Kevin Wongvitavas
• Wool-Smith Chiropractic Corp
• Ashley Alfred Wool-Smith, D.C., L.AC.

• Physician Assistant in Valencia, CA
• Providers in Valencia, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.