KIMBERLY WONG MSN NPI 1679957740

NPI Information

NPI: 1679957740
Provider Name: KIMBERLY WONG, MSN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: SUTTER BAY MEDICAL FOUNDATION

PECOS Registration: Yes

Address:
5095 TELEGRAPH AVE
OAKLAND, CA
ZIP 94609
Phone: (800) 972-5547
Get Directions

Kimberly Wong, MSN is a family nurse practitioner in Oakland, CA with 8 years of experience. Kimberly Wong, MSN NPI is 1679957740. 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:

5095 TELEGRAPH AVE
OAKLAND, CA
ZIP 94609-066
Phone: (800) 972-5547

The NPI 1679957740 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 7/17/2015 and was last updated on 6/11/2020.

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	163W00000X	Registered Nurse		687077	NEW YORK	No
2	363LF0000X	Nurse Practitioner	Family	NP95004565	CALIFORNIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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