Jon Wong M.D. a Medical Corporation

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

JON WONG M.D. A MEDICAL CORPORATION

Practice address

1329 E Thousand Oaks Blvd
Suite 128
Thousand Oaks, CA 91362-2824

Phone

(805) 494-8430

Fax

(805) 494-8385

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Jon Wong, M.D.NPI 1538101506

Title

President

Phone

(310) 271-4407

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jon Wong, M.D.

  • Psychiatry Physician
  • Beverly Hills, CA
  • NPI 1538101506
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1851339865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8306 WILSHIRE BLVD",
            "address_2": "#501",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112382",
            "telephone_number": "310-271-4407",
            "fax_number": "909-902-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 E THOUSAND OAKS BLVD",
            "address_2": "SUITE 128",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622824",
            "telephone_number": "805-494-8430",
            "fax_number": "805-494-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON WONG M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-271-4407",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Jane Johnson, RPT
• Kristina Dawn Johnson
• Taylor Johnson
• Linda Johnstone, DDS
• Jon Scott Chiropractic, Inc.
• Jonathan D. Lee, D.D.S., Inc.
• Jonathan Pappas Marriage Family Therapy Inc.
• Benny Ray Jones, RPH
• Carol M Jones, PHD, LCSW
• Cody G Jones, PT, DPT, OCS

• Psychiatry Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.

Verify at the official NPI Registry.