Individual provider Active NPI

Jacky Yan Chun Wong, DC

  • Chiropractor
  • Alhambra, CA
National Provider Identifier
1629870191
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC37243 Issued in CA
Practice address
723 S Garfield Ave Ste 302
Alhambra, CA 91801-4430
Phone
(415) 335-5448
NPI assigned
Mar 26, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC37243 CA Primary

Addresses

Primary practice location

723 S Garfield Ave Ste 302
Alhambra, CA 91801-4430

Mailing address

723 S Garfield Ave Ste 302
Alhambra, CA 91801-4430
Phone (415) 335-5448

Other practice location 1

431 Monterey Ave Ste 1
Los Gatos, CA 95030-5319
Phone (408) 395-8006

Other practice location 2

5353 Claremont Ave Ste 2A
Oakland, CA 94618-1086
Phone (510) 737-3212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251205003317 CA Practitioner - Chiropractic 4688167745 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lelke Chiropractic IncGroup PAC ID 8325472053, 4 clinicians
North East Medical ServicesGroup PAC ID 4284520529, 143 clinicians

Practice addresses (Care Compare)

1530 A 5TH St
Berkeley, CA 94710-1713
Phone (510) 725-1179

728 Pacific Ave
San Francisco, CA 94133-4449
Phone (415) 391-9686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC37243CAMDChiropractor
37243CAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Lelke Chiropractic Inc. Chiropractor CurrentSince Nov 20, 2025 Accepting new patients
Rachel Hamel DC Chiropractor Past Accepting new patients
Thomas E Bloink a Professional Chiropractic Corporation Chiropractor PastSince Nov 12, 2011 Accepting new patients

Locations

1530A 5th St
Berkeley, CA 94710
Phone (510) 305-4772

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1629870191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 S GARFIELD AVE STE 302",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014430",
            "telephone_number": "415-335-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 S GARFIELD AVE STE 302",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014430",
            "telephone_number": "415-335-5448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "431 Monterey Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Los Gatos",
            "state": "CA",
            "postal_code": "950305319",
            "country_code": "US",
            "telephone_number": "408-395-8006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5353 Claremont Ave Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946181086",
            "country_code": "US",
            "telephone_number": "510-737-3212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "JACKY YAN CHUN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC37243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.