Active NPI
Sandy M Wong
- Massage Therapist
- Maricopa, AZ
National Provider Identifier
1679404487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 30605
- Practice address
- 42461 W Capistrano Dr
Maricopa, AZ 85138-4399 - Phone
- (909) 480-9450
- NPI assigned
- May 28, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 30605 | AZ | Primary |
Addresses
Primary practice location
42461 W Capistrano Dr
Maricopa, AZ 85138-4399
Mailing address
42461 W Capistrano Dr
Maricopa, AZ 85138-4399
Phone (909) 480-9450
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30605 | AZ | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1679404487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42461 W CAPISTRANO DR",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "851384399",
"telephone_number": "909-480-9450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42461 W CAPISTRANO DR",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "851384399",
"telephone_number": "909-480-9450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "SANDY",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-28",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "AZ",
"license": "30605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maricopa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.