Kam Yuen Wong, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E3387 Issued in CA

Practice address

400 30TH St Suite 403
Oakland, CA 94609-3305

Phone

(510) 839-5219

Fax

(510) 832-7340

NPI assigned

Jul 28, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sutter East Bay Medical Foundation

  • Family Medicine Physician
  • Orinda, CA
  • NPI 1871538769

  Podiatrist

  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568476000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 30TH ST STE 403",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093305",
            "telephone_number": "510-839-5219",
            "fax_number": "510-832-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 30TH ST SUITE 403",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093305",
            "telephone_number": "510-839-5219",
            "fax_number": "510-832-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "KAM",
        "middle_name": "YUEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E33870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerry Wong
• Jhaycelyn Wong
• Joe Wong, MD
• Joyce Hui-Ping Wong, RD
• Judy Wong, CRNA
• Katherine S Wong
• Keith Lew Wong, P.T.
• Kelly Lee Wong, MD.,
• Kimberly Wong, MSN
• Kristin Wong, PHARMD

• Podiatrist in Oakland, CA
• Providers in Oakland, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.