CHRISTABELLE N WONG PA-C NPI 1356305890

NPI Information

NPI: 1356305890
Provider Name: CHRISTABELLE N WONG, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
975 E RIGGS RD
SUITE 12-268
CHANDLER, AZ
ZIP 85249
Phone: (480) 634-5521
Get Directions

Christabelle N Wong, PA-C is a surgical physician assistant in Chandler, AZ with 22 years of experience. Christabelle N Wong, PA-C NPI is 1356305890. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

975 E RIGGS RD
SUITE 12-268
CHANDLER, AZ
ZIP 85249-260
Phone: (480) 634-5521
Fax: (480) 248-9011

The NPI 1356305890 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/13/2006 and was last updated on 12/9/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	2725	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00386339	OTHER		RAILROAD MEDICARE
2	112192	MEDICARE PIN
3	3Z0050	OTHER	ARIZONA	HEALTHNET OF AZ
4	872889	MEDICAID	ARIZONA
5	Q19780	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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