Individual provider Active NPI

Janelle Karissa Wong, MD

  • Family Medicine Physician
  • Napa, CA
National Provider Identifier
1760001945
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A199539 Issued in CA
Practice address
300 Hartle CT
Napa, CA 94559-4078
Phone
(707) 254-1775
NPI assigned
Apr 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD217882 OR
Family Medicine Physician 207Q00000X A199539 CA Primary

Addresses

Primary practice location

300 Hartle CT
Napa, CA 94559-4078

Mailing address

205 Plum Lake CT
Sellersburg, IN 47172-9077
Phone (502) 718-3232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231030001253 OR Practitioner - Family Practice 8325479132
I20250926002765 CA Practitioner - Family Practice 8325479132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Lakeside Home Medical ServicesGroup PAC ID 1850338054, 19 clinicians
Sutter Bay HospitalsGroup PAC ID 3476506528, 45 clinicians

Practice addresses (Care Compare)

5176 Hill Rd E
Lakeport, CA 95453-6300

987 Parallel Dr
Suite C
Lakeport, CA 95453-5708
Phone (707) 262-5088

Hospital & facility affiliations

  • Sutter Lakeside Hospital Hospital, Lakeport, CA, CCN 051329
  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
  • Providence Queen of the Valley Medical Center Hospital, Napa, CA, CCN 050009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A199539CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Hospitals Current Accepting new patients
Sutter Bay Hospitals CurrentSince Sep 22, 2025 Accepting new patients
Sutter Bay Hospitals CurrentSince Sep 22, 2025 Accepting new patients

Locations

987 Parallel Dr
Ste C
Lakeport, CA 95453
Phone (707) 262-5000

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

Interoperability endpoints

  • Direct secure messaging: jwong753841@hisp.ehr.sutterhealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1760001945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 PLUM LAKE CT",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471729077",
            "telephone_number": "502-718-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HARTLE CT",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945594078",
            "telephone_number": "707-254-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "JANELLE",
        "middle_name": "KARISSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD217882",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A199539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.