Active NPI
Corrie Wong
- Physical Medicine & Rehabilitation Physician
- Northridge, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 300000
- Practice address
- 11260 Wilbur Ave Ste 101
Northridge, CA 91326-2450 - Phone
- (818) 832-5656
- NPI assigned
- Apr 22, 2021
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 300000 | CA | Primary |
Addresses
Primary practice location
11260 Wilbur Ave Ste 101
Northridge, CA 91326-2450
Mailing address
912 N Cordova St
Alhambra, CA 91801-1107
Phone (626) 808-7414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11260 Wilbur Ave
Suite 101
Northridge, CA 91326-2450
Phone (818) 832-5656
19000 Hawthorne Blvd
Suite 300
Torrance, CA 90503-1517
Phone (310) 793-1800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Rehabilitation & Sports Therapy a California Physical Ther | Current | Accepting new patients | |
| California Rehab and Sports Therapy | Current | Accepting new patients | |
| California Rehab & Sports Therapy | Current | Accepting new patients | |
| California Rehabilitation & Sports Therapy a California Physical Ther | Past | Accepting new patients | |
| California Rehabilitation and Sports Therapy a California Physical Ther | Past | Accepting new patients |
Locations
415 Carmen Dr
Camarillo, CA 93010
Phone (805) 322-9083
2035 Corte del Nogal
Ste 200
Carlsbad, CA 92011
Phone (760) 931-8310
11260 Wilbur Ave
Ste 101
Porter Ranch, CA 91326
Phone (818) 832-5656
19000 Hawthorne Blvd
Ste 300
Torrance, CA 90503
Phone (310) 793-1800
Organizations & group practices 5
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.
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- Multi-Specialty Clinic/Center
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- NPI 1386696409
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1508540279
-
- Multi-Specialty Clinic/Center
- Torrance, CA
- NPI 1225081870
-
- Physical Therapy Clinic/Center
- Camarillo, CA
- NPI 1669066940
-
- Physical Therapy Clinic/Center
- Northridge, CA
- NPI 1740874023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619049600000",
"number": "1821670530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 N CORDOVA ST",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918011107",
"telephone_number": "626-808-7414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11260 WILBUR AVE STE 101",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913262450",
"telephone_number": "818-832-5656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "CORRIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-22",
"last_updated": "2021-04-22",
"certification_date": "2021-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "300000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.