PATRICIA LYNN WONG MD
NPI 1629138847
Dermatology in Palo Alto, CA

Active since December 11, 2006Opted out of Medicare · through Sep 16, 2027
735 COWPER STREET, PALO ALTO, CA 94301(650) 473-3173(650) 473-2312 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Patricia Lynn Wong Md NPPES

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

PATRICIA LYNN WONG MD (NPI 1629138847) is an individual dermatology provider in Palo Alto, California, licensed in California (G543820) and active in the NPI registry since December 2006. She has opted out of Medicare through September 16, 2027.

NPPES Registry Identity

NPI1629138847
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NamePATRICIA LYNN WONGCredential: MD
Location Address735 COWPER STREETPalo Alto, CA 94301
Mailing Address735 Cowper StreetPalo Alto, CA 94301 · (650) 473-3173 · Fax (650) 473-2312
Fax(650) 473-2312
Sole ProprietorNo
Enumeration DateDecember 11, 2006
Last NPPES UpdateApril 30, 2025
NPI 1629138847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · G543820
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedInternal MedicineTaxonomy 207R00000X · License G543820 (CA)
735 COWPER STREET, Palo Alto, CA 94301

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Patricia Lynn Wong Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 16, 2025 through September 16, 2027.

Opt-Out Effective DateSeptember 16, 2025
Opt-Out In Effect ThroughSeptember 16, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Patricia Wong's NPI number?

The NPI number for Patricia Wong is 1629138847. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Patricia Wong located?

Patricia Wong practices at 735 Cowper Street, Palo Alto, CA 94301. The listed phone number is (650) 473-3173.

What is Patricia Wong's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Patricia Wong enrolled in Medicare?

No. Patricia Wong has opted out of Medicare through September 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Patricia Wong was last updated on April 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.