Individual provider Active NPI

Cong-Bong Biu Wong, OTD, OTR/L

  • Mental Health Occupational Therapist
  • Monterey Park, CA
National Provider Identifier
1639589435
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Occupational TherapistTaxonomy code 225XM0800X
License
13102 Issued in CA
Practice address
946 E. Newmark Ave.
Monterey Park, CA 91755-3102
Phone
(626) 307-5830
Fax
(626) 307-5830
NPI assigned
May 1, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Occupational Therapist 225XM0800X 13102 CA Primary

Addresses

Primary practice location

946 E. Newmark Ave.
Monterey Park, CA 91755-3102

Mailing address

946 E. Newmark Ave.
Monterey Park, CA 91755-3102
Phone (626) 307-5830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1639589435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 E. NEWMARK AVE.",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917553102",
            "telephone_number": "626-307-5830",
            "fax_number": "626-307-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 E. NEWMARK AVE.",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917553102",
            "telephone_number": "626-307-5830",
            "fax_number": "626-307-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "CONG-BONG",
        "middle_name": "BIU",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-01",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "CA",
            "license": "13102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.