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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KRISTIN GRACE WONG PA-C
NPI 1083508055
Physician Assistant in Carson, CA

Active since June 04, 2025
20920 CHICO ST, CARSON, CA 90746(888) 530-4415(833) 973-3630 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2026, Jun 11, 2025, Jun 4, 2025 (3 updates tracked since 2025).

About Kristin Grace Wong Pa-c NPPES

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

KRISTIN GRACE WONG PA-C (NPI 1083508055) is an individual physician assistant in Carson, California and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1083508055
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRISTIN GRACE WONGCredential: PA-C
Location Address20920 CHICO STCarson, CA 90746-3603
Mailing Address27930 Ridgebrook CtRancho Palos Verdes, CA 90275-3303 · (310) 863-8236
Phone(888) 530-4415
Fax(833) 973-3630
Sole ProprietorYes
Enumeration DateJune 4, 2025
Last NPPES UpdateJuly 28, 20263 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1083508055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
20920 CHICO ST, Carson, CA 90746
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Other Providers at the Same Location NPPES 5

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

APARNA S AKOLKAR MD
Internal Medicine
20920 CHICO ST
CARSON, CA 90746
Los Angeles County (888) 530-4415
ROSA MARIA GARCIA
Student in an Organized Health Care Education/Training Program
20920 CHICO ST
CARSON, CA 90746
Los Angeles County (562) 743-1116
ANNIE DUONG OTR/L
Occupational Therapist
20920 CHICO ST
CARSON, CA 90746
Los Angeles County (424) 444-5175
ALLYL ALEJAN SORIANO MSN, APRN, FNP-C
Nurse Practitioner (Family)
20920 CHICO ST
CARSON, CA 90746
Los Angeles County (424) 444-5097
ROMAN EMMANUEL ACEBEDO
Nurse Practitioner (Gerontology)
20920 CHICO ST
CARSON, CA 90746
Los Angeles County (424) 444-5097

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 Kristin Wong's NPI number?

The NPI number for Kristin Wong is 1083508055. It was assigned to this individual provider in the NPPES registry on June 4, 2025.

Where is Kristin Wong located?

Kristin Wong practices at 20920 Chico St, Carson, CA 90746. The listed phone number is (888) 530-4415.

What is Kristin Wong's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kristin Wong was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.