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DIANA WING-YI WONG AGACNP-BC, CCRN, CSC
NPI 1003750373
Nurse Practitioner in San Jose, CA

Active since April 16, 2026PECOS Enrolled
1990 FRUITDALE AVE, SAN JOSE, CA 95128(408) 998-8447 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Diana Wing-yi Wong Agacnp-bc, Ccrn, Csc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANA WING-YI WONG AGACNP-BC, CCRN, CSC (NPI 1003750373) is an individual nurse practitioner in San Jose, California, licensed in California (95027538) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1003750373
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDIANA WING-YI WONGCredential: AGACNP-BC, CCRN, CSC
Location Address1990 FRUITDALE AVESan Jose, CA 95128-2795
Mailing Address1675 Ebbetts DrCampbell, CA 95008-5111 · (909) 509-6011
Phone(408) 998-8447
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 16, 2026
NPPES CertifiedApril 16, 2026
✔ NPI 1003750373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95027538
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1990 FRUITDALE AVE, San Jose, CA 95128
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diana Wing-yi Wong Agacnp-bc, Ccrn, Csc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567931983
PECOS Enrollment IDI20260514004297
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOLOMON MEDICAL INC
Internal Medicine
1990 FRUITDALE AVE
SAN JOSE, CA 95128
Santa Clara County (408) 998-8447
CHRISTOPHER WALSH
Occupational Therapist
1990 FRUITDALE AVE
SAN JOSE, CA 95128
Santa Clara County (408) 998-8447
KATHRYN A. HAVIS-FALER
Nursing Care
1990 FRUITDALE AVE
SAN JOSE, CA 95128
Santa Clara County (408) 998-8447
ALEXA MARIA LINO M.S., CCC-SLP
Speech-Language Pathologist
1990 FRUITDALE AVE
SAN JOSE, CA 95128
Santa Clara County (408) 998-8447
SUDESHNA CHAKRABARTI OTR/L
Occupational Therapist
1990 FRUITDALE AVE
SAN JOSE, CA 95128
Santa Clara County (408) 998-8447
JESSIE LI
Physical Therapy Assistant
1990 FRUITDALE AVE
SAN JOSE, CA 95128
Santa Clara County (408) 998-8447
MS. ANGELA LOPEZ
Speech-Language Pathologist
1990 FRUITDALE AVE
SAN JOSE, CA 95128
Santa Clara County (408) 998-8447
VICTOR COAKLEY OTR/L
Occupational Therapist
1990 FRUITDALE AVE
SAN JOSE, CA 95128
Santa Clara County (408) 998-8447

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diana Wong's NPI number?

The NPI number for Diana Wong is 1003750373. It was assigned to this individual provider in the NPPES registry on April 16, 2026.

Where is Diana Wong located?

Diana Wong practices at 1990 Fruitdale Ave, San Jose, CA 95128. The listed phone number is (408) 998-8447.

What is Diana Wong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Diana Wong enrolled in Medicare?

Yes. Diana Wong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Diana Wong was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.