Kaitlyn Wong

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

6148 Issued in CA

Practice address

41769 Enterprise Cir N Unit 104105
Temecula, CA 92590-5626

Phone

(951) 303-8255

NPI assigned

Jun 17, 2020

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1851917629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 TEMESCAL CANYON RD APT 207",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928834656",
            "telephone_number": "760-851-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41769 ENTERPRISE CIR N UNIT 104105",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905626",
            "telephone_number": "951-303-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "6148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kaitlynwong@temeculatherapy.com",
            "affiliation": "N",
            "address_1": "41769 Enterprise Cir N Unit 104105",
            "city": "Temecula",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925905626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Woman to Woman Health Center
• Womens Healthcare of Temecula
• Jessica Lane Christy Womer, M.A., CCC-SLP
• Won H Park DDS Inc
• Wonder Psychological Services, Inc
• Angela Wongchalermthan
• Amnart A Wongworawat, M.D.
• Nina N Wood
• Calvin James Woodard, MD
• Laura Woodland

• Speech-Language Assistant in Temecula, CA
• Providers in Temecula, CA by specialty
• Speech-Language Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.