Individual provider Active NPI

Jessalyn Lianne Garling Wong, D.O.

  • Hospitalist Physician
  • Placentia, CA
National Provider Identifier
1992168884
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
18573 Issued in CA
Practice address
415 W Chapman Ave
Placentia, CA 92870-5905
Phone
(213) 537-7259
NPI assigned
Mar 30, 2016
Last updated
Oct 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X CV2102535 IN
Hospitalist Physician 208M00000X 18573 CA Primary
Sleep Medicine (Family Medicine) Physician 207QS1201X 20A18573 CA

Addresses

Primary practice location

415 W Chapman Ave
Placentia, CA 92870-5905

Mailing address

415 W Chapman Ave
Placentia, CA 92870-5905
Phone (213) 537-7259

Other practice location 1

1550 Town Center Dr
Montebello, CA 90640-2173
Phone (833) 574-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IN, HI3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210512001710 CA Practitioner - HospitalistPractitioner - Family PracticePractitioner - Sleep Medicine 4385053909 Reassigns benefits to 2 organizations
I20211004000965 IN Practitioner - Hospitalist 4385053909 Reassigns benefits to 1 organization
I20230918001643 HI Practitioner - Sleep Medicine 4385053909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valerie Cacho Medical CorpGroup PAC ID 9133653009, 2 clinicians
Valerie a Cacho MD, IncGroup PAC ID 6103123112, 2 clinicians

Practice addresses (Care Compare)

2800 N California St
Suite 1
Stockton, CA 95204-3758
Phone (657) 553-3799

91 -3575 Kauluakoko St
Unit 1601
Ewa Beach, HI 96706-5862
Phone (808) 500-7077

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
65.6
Improvement activities
40
Cost
71.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
18573CAMDPeer Specialist
20A18573CAMDSleep Medicine (Family Medicine) Physician
CV2102535INMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians Inc CurrentSince Oct 16, 2023 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Oct 1, 2021 Accepting new patients
Valerie Cacho Medical Corp CurrentSince Oct 4, 2024 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Galen Inpatient Physicians, PC Hospitalist CurrentSince Oct 1, 2021 Accepting new patients
Sports Medicine Grant, Inc Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

5300 Katella Ave
Los Alamitos, CA 90720
Phone (562) 430-7533

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

2800 N California St
Ste 1
Stockton, CA 95204
Phone (209) 942-1161

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jessalyn.wong@265547985715204.direct.elationemr.com
  • Direct secure messaging: jwong@unionhealth.cernerdirect.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1992168884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W CHAPMAN AVE",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928705905",
            "telephone_number": "213-537-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W CHAPMAN AVE",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928705905",
            "telephone_number": "213-537-7259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 Town Center Dr",
            "address_purpose": "LOCATION",
            "city": "Montebello",
            "state": "CA",
            "postal_code": "906402173",
            "country_code": "US",
            "telephone_number": "833-574-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "JESSALYN",
        "middle_name": "LIANNE GARLING",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "CV2102535",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "18573",
            "primary": true
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "CA",
            "license": "20A18573",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

Verify at the official NPI Registry.