Active NPI
Lynette Wong, M.S.
- Speech-Language Pathologist
- Oakland, CA
National Provider Identifier
1720286818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP5700
- Practice address
- 312 Clay St Ste 150
Oakland, CA 94607-3510 - Phone
- (510) 428-8403
- Fax
- (510) 238-9764
- NPI assigned
- Jul 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | SLP5700 | CA | |
| Rehabilitation Practitioner | 225400000X | |||
| Speech-Language Pathologist | 235Z00000X | SP5700 | CA | Primary |
Addresses
Primary practice location
312 Clay St Ste 150
Oakland, CA 94607-3510
Mailing address
747 52ND St
Oakland, CA 94609-1809
Phone (510) 428-8403
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Lynette.Wong@ucsf.edu |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP5700 | CA | MD | Counselor |
| SP5700 | CA | MD | Speech-Language Pathologist |
Interoperability endpoints
- lynette.wong@ucsf.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1720286818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "747 52ND ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091809",
"telephone_number": "510-428-8403",
"fax_number": "510-238-9764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 CLAY ST STE 150",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946073510",
"telephone_number": "510-428-8403",
"fax_number": "510-238-9764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "LYNETTE",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-10",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "SLP5700",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP5700",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Lynette.Wong@ucsf.edu",
"affiliation": "N",
"address_1": "312 Clay St Ste 150",
"city": "Oakland",
"state": "CA",
"country_code": "US",
"postal_code": "946073510",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.