DR. JEFFREY ALAN WONG MD - NPI 1538131966 - Pediatrics in Ventura, CA

Q: What is Jeffrey Wong's NPI number?

The NPI number for Jeffrey Wong is 1538131966. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Q: What is Jeffrey Wong's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Wong was last updated on March 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Jeffrey Alan Wong Md NPPES

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

DR. JEFFREY ALAN WONG MD (NPI 1538131966) is an individual pediatric cardiology provider in Ventura, California, licensed in California (G72487) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Encino.

NPPES Registry Identity

NPI1538131966

Entity TypeIndividualMale

Primary Taxonomy2080P0202X

Provider Legal NameDR. JEFFREY ALAN WONGCredential: MD

Location Address300 HILLMONT AVE STE 302Ventura, CA 93003-1651

Mailing Address5400 Balboa Blvd, 202Encino, CA 91316 · (818) 784-6269 · Fax (818) 784-1531

Phone(805) 652-6255

Sole ProprietorNo

Enumeration DateFebruary 1, 2006

Last NPPES UpdateMarch 17, 2026

NPPES CertifiedMarch 17, 2026

✔ NPI 1538131966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in CA · G72487

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

300 HILLMONT AVE STE 302, Ventura, CA 93003

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Secondary Practice Location 1

Location 15400 Balboa Blvd, 202Encino, CA 91316 · Phone (818) 784-6269 · Fax (818) 784-1531

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeffrey Alan Wong Md 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.

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.

DR. ABBEY JORDANA FREED D.O.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)