DUSTIN WONG DO NPI 1518549328

NPI Information

  • NPI: 1518549328
  • Provider Name: DUSTIN WONG, DO
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 17234 VALLEY BLVD
    BUILDING A
    FONTANA, CA
    ZIP 92335
  • Phone: (909) 427-5679

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NPI Details

Dustin Wong, DO is a child and adolescent psychiatry psychiatry neurology in Fontana, CA with 5 years of experience. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Dustin Wong, DO NPI is 1518549328. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduation Year:2021

The provider's business location address is:

17234 VALLEY BLVD
BUILDING A
FONTANA, CA
ZIP 92335
Phone: (909) 427-5679

The NPI 1518549328 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 4/22/2021 and was last updated on 10/14/2025.

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
12084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry20A22709CALIFORNIAYes
22084P0800XPsychiatry & NeurologyPsychiatryOT020545PENNSYLVANIANo
32084P0800XPsychiatry & NeurologyPsychiatry20A22709CALIFORNIANo

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: 11/21/2025

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