DR. MARK JEFFREY WONG D.C.
NPI 1720136724
Chiropractor in Oakland, CA

Q: What is Mark Wong's NPI number?

The NPI number for Mark Wong is 1720136724. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Q: What is Mark 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 Mark Wong was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 January 08, 2007

3540 GRAND AVE, OAKLAND, CA 94610(510) 268-8557(510) 268-8591 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Mark Jeffrey Wong D.c. NPPES

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

DR. MARK JEFFREY WONG D.C. (NPI 1720136724) is an individual chiropractor in Oakland, California, licensed in California (DC25950) and active in the NPI registry since January 2007. He is a graduate of Life Chiropractic College (1997).

NPPES Registry Identity

NPI1720136724

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. MARK JEFFREY WONGCredential: D.C.

Location Address3540 GRAND AVEOakland, CA 94610-2010

Mailing Address3540 Grand AveOakland, CA 94610-2010 · (510) 268-8557 · Fax (510) 268-8591

Phone(510) 268-8557

Fax(510) 268-8591

Sole ProprietorYes

Medical School CMSLife Chiropractic CollegeGraduated 1997

Enumeration DateJanuary 8, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1720136724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CA · DC25950

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.

3540 GRAND AVE, Oakland, CA 94610

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Other Identifiers 1

Medicare ID-Type UnspecifiedDC0259500CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

PECOS PAC ID4688843204

PECOS Enrollment IDI20110816000155

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

134 services12 patients

Other Providers at the Same Location NPPES 4

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

DR. WONJOO LEE D.D.S.

Dentist (General Practice)

3540 GRAND AVE, SUITE 100
OAKLAND, CA 94610

Alameda County (510) 208-3012

MISS U WA NG L.AC.

Acupuncturist

3540 GRAND AVE
OAKLAND, CA 94610

Alameda County (510) 828-8062

DR. THOMAS C. CHEW D.C.

Chiropractor

3540 GRAND AVE
OAKLAND, CA 94610

Alameda County (510) 628-8460

WONJOO LEE, DDS, INC.

Dentist

3540 GRAND AVE, SUITE 100
OAKLAND, CA 94610

Alameda County (510) 208-3012

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 Mark Wong's NPI number?

The NPI number for Mark Wong is 1720136724. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Mark Wong located?

Mark Wong practices at 3540 Grand Ave, Oakland, CA 94610. The listed phone number is (510) 268-8557.

What is Mark Wong's specialty?

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

Is Mark Wong enrolled in Medicare?

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

What insurance does Mark Wong accept?

Health plans from Providence Health Plan list Mark Wong as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Wong was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.