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DR. JORGE WONG PHD
NPI 1689735284
Psychologist - Clinical in San Jose, CA

Active since December 13, 2006PECOS Enrolled
2400 MOORPARK AVE, SUITE 300, SAN JOSE, CA 95128(408) 975-2730(408) 975-2745 Get Directions Write a Review

NPPES record last updated: February 14, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 14, 2022, Feb 7, 2022 (2 updates tracked since 2022).

About Dr. Jorge Wong Phd NPPES

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

DR. JORGE WONG PHD (NPI 1689735284) is an individual clinical provider in San Jose, California, licensed in California (PSY21180) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689735284
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JORGE WONGCredential: PHD
Location Address2400 MOORPARK AVE, SUITE 300San Jose, CA 95128-2631
Mailing Address46 Race StSan Jose, CA 95126-3130 · (408) 961-9818 · Fax (408) 961-9856
Phone(408) 975-2730
Fax(408) 975-2745
Sole ProprietorNo
Enumeration DateDecember 13, 2006
Last NPPES UpdateFebruary 14, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2022
✔ NPI 1689735284 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 · PSY21180
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.
2400 MOORPARK AVE, San Jose, CA 95128
Open in Google Maps ↗

Other Identifiers 1

OtherPSY21180CA · Cinical Psychology Licens

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jorge Wong Phd 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 Reassignment

Medicare enrollment records show Jorge Wong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Alameda County
16 mi
Community/Behavioral Health
39155 LIBERTY ST
Fremont, CA 94538
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: County Of Alameda
  • 50 clinicians in this Medicare group
NPI 1043342728 (800) 878-1313

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 95128 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
$206.04 typical visit price
range $70.37 – $206.04
Typical copayment $51.51 (range $17.59 – $51.51)
Most-billed visit code 99205
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

LAUREN MARIE TWEEDIE PHARMD
Pharmacist
2400 MOORPARK AVE
SAN JOSE, CA 95128
Santa Clara County (760) 877-9501
KARINA PEREZ
Dietitian, Registered
2400 MOORPARK AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
TIMOTHY PATRICK ONG MD
Internal Medicine
2400 MOORPARK AVE, VHC MOORPARK INTERNAL MEDICINE CLINIC
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
CONSTANCE WENJUI LO MD
Internal Medicine
2400 MOORPARK AVE, VHC MOORPARK INTERNAL MEDICINE CLINIC
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
DR. JENNIFER YAH-RONG LEE PSY.D.
Psychologist (Clinical)
2400 MOORPARK AVE, SUITE 300
SAN JOSE, CA 95128
Santa Clara County (408) 975-2730
WANGPING ZHAO M.D.
Family Medicine
2400 MOORPARK AVE, SUITE #319
SAN JOSE, CA 95128
Santa Clara County (408) 975-2763
CHRISTINE AQUINO BAUTISTA MA
Counselor (Mental Health)
2400 MOORPARK AVE, 300
SAN JOSE, CA 95128
Santa Clara County (408) 975-2730
HY DIEP
Psychologist
2400 MOORPARK AVE, 300
SAN JOSE, CA 95128
Santa Clara County (408) 975-2730

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 Jorge Wong's NPI number?

The NPI number for Jorge Wong is 1689735284. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Jorge Wong located?

Jorge Wong practices at 2400 Moorpark Ave Suite 300, San Jose, CA 95128. The listed phone number is (408) 975-2730.

What is Jorge Wong's specialty?

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

Is Jorge Wong enrolled in Medicare?

Yes. Jorge Wong is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jorge Wong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jorge Wong reassigns Medicare benefits to Alameda County (Fremont, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jorge Wong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jorge Wong was last updated on February 14, 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.