Jeannie Wong, LAC, DAOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC17768 Issued in CA

Practice address

2595 E Washington Blvd Ste 108
Pasadena, CA 91107-1409

Phone

(626) 639-3887

Fax

(626) 639-3887

NPI assigned

Feb 26, 2018

Last updated

May 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellspot Healthcare

  • Multi-Specialty Clinic/Center
  • Pasadena, CA
  • NPI 1417535493

  Acupuncturist

  NPD Authorized official
• Wuxia Integrative Medicine

  dba Wuxia Acupuncture Medicine

  • Medical Specialty Clinic/Center
  • Pasadena, CA
  • NPI 1164900965
  NPD Authorized official

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1831690783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 E WASHINGTON BLVD STE 108",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071409",
            "telephone_number": "626-639-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 E WASHINGTON BLVD STE 108",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071409",
            "telephone_number": "626-639-3887",
            "fax_number": "626-639-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "JEANNIE",
        "credential": "LAC, DAOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC17768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PASADENA",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2595 E Washington Blvd Ste 108",
            "city": "Pasadena",
            "state": "CA",
            "country_code": "US",
            "postal_code": "911071409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Grace K. Wong, O.D.
• Grant Wong
• James Wah Wong, MD
• Jameson Wong
• Jamie Sue Wong, MA, BCBA
• Jeff Wong, PHARM.D/M.B.A
• Jennie Kwan Nie Wong, LCSW
• Jeremiah Wong
• Joann Wong, PHARMD.
• John W Wong, L.AC.

• Acupuncturist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.