DR. ANDREW JO-WANG WONG PH.D.
NPI 1578997466
Psychologist - Clinical in Stockton, CA

Q: What is Andrew Wong's NPI number?

The NPI number for Andrew Wong is 1578997466. It was assigned to this individual provider in the NPPES registry on August 27, 2013.

Q: What is Andrew Wong's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Wong was last updated on August 12, 2022. 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.

Active since August 27, 2013PECOS Enrolled

7373 WEST LN, STOCKTON, CA 95210(209) 476-3312 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 12, 2022, Jan 3, 2022, Jun 7, 2021 (3 updates tracked since 2021).

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About Dr. Andrew Jo-wang Wong Ph.d. NPPES

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

DR. ANDREW JO-WANG WONG PH.D. (NPI 1578997466) is an individual clinical provider in Stockton, California, licensed in California (31461) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Mateo.

NPPES Registry Identity

NPI1578997466

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ANDREW JO-WANG WONGCredential: PH.D.

Location Address7373 WEST LNStockton, CA 95210-3377

Mailing Address1800 Harrison St, 7th FlOakland, CA 94612-3429 · (510) 625-4101 · Fax (877) 738-4262

Phone(209) 476-3312

Sole ProprietorNo

Enumeration DateAugust 27, 2013

Last NPPES UpdateAugust 12, 20223 updates tracked since enumeration

NPPES CertifiedAugust 12, 2022

✔ NPI 1578997466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 31461

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

7373 WEST LN, Stockton, CA 95210

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Secondary Practice Location 1

Location 1222 Paul Scannell DrSan Mateo, CA 94402-4061 · Phone (650) 312-5387

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrew Jo-wang Wong Ph.d. 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.

Medicare Billing Reassignments

Medicare enrollment records show Andrew Wong reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Permanente Medical Group Inc

Same address

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

Family Psychological Services Inc

302 mi

Psychologist

30495 CANWOOD ST STE 101
Agoura Hills, CA 91301

Reassigned Medicare billing, California enrollment
29 clinicians in this Medicare group

NPI 1881746733 (818) 707-7366

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95210 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

$176.60 typical visit price

range $58.87 – $176.60

Typical copayment $44.15 (range $14.71 – $44.15)

Most-billed visit code 99205

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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 20

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

JASDEEP KAUR GILL PHARMD

Pharmacist (Ambulatory Care)