Active NPI
Myla Oquendo Ocampo-Wong, R.D.
- Registered Dietitian
- Hayward, CA
National Provider Identifier
1801055256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 956552
- Practice address
- 22331 Mission Blvd
Hayward, CA 94541-3911 - Phone
- (510) 471-5880
- Fax
- (510) 609-0816
- NPI assigned
- Jun 2, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 956552 | CA | Primary |
Addresses
Primary practice location
22331 Mission Blvd
Hayward, CA 94541-3911
Mailing address
39500 Liberty St
Fremont, CA 94538-2211
Phone (510) 770-8040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 956552 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Community Health | Current | Accepting new patients | |
| Bay Area Community Health | Current | Accepting new patients | |
| Bay Area Community Health | Past | Accepting new patients |
Locations
39500 Liberty St
Fremont, CA 94538
Phone (510) 770-8133
40910 Fremont Blvd
Fremont, CA 94538
Phone (510) 770-8133
1860 Mowry Ave
Fremont, CA 94538
Phone (510) 608-6065
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.
-
- Federally Qualified Health Center (FQHC)
- Fremont, CA
- NPI 1780054379
-
- Federally Qualified Health Center (FQHC)
- Fremont, CA
- NPI 1184791998
-
- Federally Qualified Health Center (FQHC)
- Fremont, CA
- NPI 1942387188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746144000000",
"number": "1801055256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39500 LIBERTY ST",
"city": "FREMONT",
"state": "CA",
"postal_code": "945382211",
"telephone_number": "510-770-8040",
"fax_number": "510-770-8141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22331 MISSION BLVD",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945413911",
"telephone_number": "510-471-5880",
"fax_number": "510-609-0816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCAMPO-WONG",
"first_name": "MYLA",
"middle_name": "OQUENDO",
"name_prefix": "Ms.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-02",
"last_updated": "2025-05-02",
"certification_date": "2025-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "956552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.