Jon Wong, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A23011 Issued in CA

Practice address

8306 Wilshire Blvd
#501
Beverly Hills, CA 90211-2382

Phone

(310) 271-4407

Fax

(323) 936-6927

NPI assigned

Jun 12, 2006

Last updated

Jun 3, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

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

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.

• Jon Wong M.D. a Medical Corporation

  • Psychiatry Physician
  • Thousand Oaks, CA
  • NPI 1851339865
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1538101506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8306 WILSHIRE BLVD",
            "address_2": "# 59",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112304",
            "telephone_number": "310-271-4407",
            "fax_number": "323-936-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8306 WILSHIRE BLVD",
            "address_2": "#501",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112382",
            "telephone_number": "310-271-4407",
            "fax_number": "323-936-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "JON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A23011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "757263071",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A230110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jade Berke Wollman, LCSW
• Peter Wolson, PH.D.
• Womens Care of Beverly Hills Medical Group
• Anthony Wong, MD
• Elizabeth Wong, C R N A
• Woodlake Surgery Center
• Glen Michael Wool, M.D.
• Garrett Worsey, DDS
• Beverly Ann Woss, DDS
• Wound Center Inc

• Psychiatry Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.