JARED ANDREW WONG
NPI 1386185601
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 20, 2017PECOS EnrolledAccepts Medicare Assignment
2051 MARENGO ST, LOS ANGELES, CA 90033(323) 409-7556 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 6, 2021, Apr 15, 2020, Mar 20, 2017 (3 updates tracked since 2017).

About Jared Andrew Wong NPPES

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

JARED ANDREW WONG (NPI 1386185601) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2017).

NPPES Registry Identity

NPI1386185601
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJARED ANDREW WONG
Location Address2051 MARENGO STLos Angeles, CA 90033-1352
Mailing Address6159 Laguna CtLong Beach, CA 90803-4812 · (562) 704-0117
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2017
Enumeration DateMarch 20, 2017
Last NPPES UpdateDecember 6, 20213 updates tracked since enumeration
NPPES CertifiedApril 15, 2020
NPI 1386185601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2051 MARENGO ST, Los Angeles, CA 90033

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jared Andrew Wong is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698014900
PECOS Enrollment IDI20201006000299
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.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
2051 MARENGO ST
LOS ANGELES, CA 90033
Obstetrics & Gynecology
2051 MARENGO ST
LOS ANGELES, CA 90033
Clinical Nurse Specialist
2051 MARENGO ST
LOS ANGELES, CA 90033
Respiratory Therapist, Registered
2051 MARENGO ST
LOS ANGELES, CA 90033
Psychiatric Unit
2051 MARENGO ST
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
2051 MARENGO ST
LOS ANGELES, CA 90033
Respiratory Therapist, Registered (Neonatal/Pediatrics)
2051 MARENGO ST
LOS ANGELES, CA 90033
Respiratory Therapist, Registered
2051 MARENGO ST
LOS ANGELES, CA 90033

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 Jared Wong's NPI number?

The NPI number for Jared Wong is 1386185601. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Where is Jared Wong located?

Jared Wong practices at 2051 Marengo St, Los Angeles, CA 90033. The listed phone number is (323) 409-7556.

What is Jared Wong's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jared Wong enrolled in Medicare?

Yes. Jared Wong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jared Wong was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.