Matt Sun Wong, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

23709 Issued in CA

Practice address

2290 W El Camino Real
Suite 4
Mountain View, CA 94040-1632

Phone

(650) 965-2225

Fax

(650) 967-5328

NPI assigned

Feb 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207526400000",
    "number": "1790810596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 W EL CAMINO REAL",
            "address_2": "SUITE 4",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940401632",
            "telephone_number": "650-965-2225",
            "fax_number": "650-967-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 W EL CAMINO REAL",
            "address_2": "SUITE 4",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940401632",
            "telephone_number": "650-965-2225",
            "fax_number": "650-967-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "MATT",
        "middle_name": "SUN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "23709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derrick Wong, M.D.
• Jean Wong, MD
• Kristi Nicole Wong, PHARMD
• Lawrence Brandon Wong, MD
• Lori Lee Wong, OT
• May Wong, OTR/L
• Rodney Zeman Wong, M.D.
• Stephanie Wong, MD
• Stephanie Yuen Ting Wong, MD
• Tiffany Wong

• Chiropractor in Mountain View, CA
• Providers in Mountain View, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.