1. Home
  2. Directory
  3. California
  4. San Jose
  5. Nurse Practitioner
  6. NPI Profile

CARINA WU WONG NP
NPI 1164000113
Nurse Practitioner - Family in San Jose, CA

Active since March 31, 2021PECOS Enrolled
88 TULLY RD STE 110, SAN JOSE, CA 95111(408) 294-9234 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 2, 2022, Mar 31, 2021 (2 updates tracked since 2021).

About Carina Wu Wong Np NPPES

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

CARINA WU WONG NP (NPI 1164000113) is an individual family provider in San Jose, California, licensed in California (95014380) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164000113
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARINA WU WONGCredential: NP
Location Address88 TULLY RD STE 110San Jose, CA 95111-1923
Mailing Address88 Tully Rd Ste 110San Jose, CA 95111-1923
Phone(408) 294-9234
Sole ProprietorNo
Enumeration DateMarch 31, 2021
Last NPPES UpdateApril 17, 20232 updates tracked since enumeration
NPPES CertifiedApril 17, 2023
✔ NPI 1164000113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95014380
88 TULLY RD STE 110, San Jose, CA 95111
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carina Wu Wong Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 95111 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

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

MRS. SONYA KHUWAJA FNP-C
Nurse Practitioner (Family)
88 TULLY RD STE 110
SAN JOSE, CA 95111
Santa Clara County (408) 294-9234

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 Carina Wong's NPI number?

The NPI number for Carina Wong is 1164000113. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Carina Wong located?

Carina Wong practices at 88 Tully Rd Ste 110, San Jose, CA 95111. The listed phone number is (408) 294-9234.

What is Carina Wong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carina Wong enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Carina Wong was last updated on April 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.