Active NPI
Kam Wong
- Pharmacist
- Redwood City, CA
National Provider Identifier
1679638852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11072
- Practice address
- 910 Marshall St
#118
Redwood City, CA 94063-2033 - Phone
- (650) 299-4806
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11072 | NV | Primary |
| Pharmacotherapy Pharmacist | 1835P1200X | 44298 | CA |
Addresses
Primary practice location
910 Marshall St
#118
Redwood City, CA 94063-2033
Mailing address
PO Box 551
Palo Alto, CA 94302-0551
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 |
|---|---|---|---|
| 11072 | NV | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1679638852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 551",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943020551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 MARSHALL ST",
"address_2": "#118",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940632033",
"telephone_number": "650-299-4806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "KAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "11072",
"primary": true
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "CA",
"license": "44298",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.