KIMBERLY WONG D.C
NPI 1497117659
Chiropractor in Cupertino, CA

Q: What is Kimberly Wong's NPI number?

The NPI number for Kimberly Wong is 1497117659. It was assigned to this individual provider in the NPPES registry on March 25, 2016.

Q: What is Kimberly Wong's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Wong was last updated on March 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since March 25, 2016

21730 STEVENS CREEK BLVD STE 102, CUPERTINO, CA 95014(408) 255-2592(408) 255-9650 Get Directions Write a Review

NPPES record last updated: March 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kimberly Wong D.c NPPES

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

KIMBERLY WONG D.C (NPI 1497117659) is an individual chiropractor in Cupertino, California, licensed in California (33494) and active in the NPI registry since March 2016. She is a graduate of Other (2015).

NPPES Registry Identity

NPI1497117659

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameKIMBERLY WONGCredential: D.C

Location Address21730 STEVENS CREEK BLVD STE 102Cupertino, CA 95014-1171

Mailing Address21730 Stevens Creek Blvd Ste 102Cupertino, CA 95014-1171 · (408) 255-2592 · Fax (408) 255-9650

Phone(408) 255-2592

Fax(408) 255-9650

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 25, 2016

✔ NPI 1497117659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CA · 33494

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

21730 STEVENS CREEK BLVD STE 102, Cupertino, CA 95014

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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)

Kimberly Wong D.c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335409101

PECOS Enrollment IDI20180216001246

Other Providers at the Same Location NPPES 6

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

LISA M STEIN D.C.

Chiropractor