JUSTINA WONG
NPI 1740670629
Counselor - Addiction (Substance Use Disorder) in Pasadena, CA
About Justina Wong NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTINA WONG (NPI 1740670629) is an individual addiction (substance use disorder) provider in Pasadena, California and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Justina Wong is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Justina Wong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90025
- Reassigned Medicare billing, California enrollment
- 9 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
PASADENA, CA 91104
PASADENA, CA 91104
PASADENA, CA 91104
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 Justina Wong's NPI number?
The NPI number for Justina Wong is 1740670629. It was assigned to this individual provider in the NPPES registry on January 29, 2015.
Where is Justina Wong located?
Justina Wong practices at 1450 N Lake Ave Ste 150, Pasadena, CA 91104. The listed phone number is (626) 794-6071.
What is Justina Wong's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
Is Justina Wong enrolled in Medicare?
Yes. Justina Wong is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Justina Wong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justina Wong reassigns Medicare benefits to Blossom Wellness Spa Inc (Los Angeles, 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 Justina 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 Justina Wong was last updated on January 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Justina Wong · NPI 1740670629
Addiction (Substance Use Disorder) provider in Pasadena, California. Individual provider, active in the CMS NPPES registry since January 29, 2015.
## Identity
- **NPI:** 1740670629 (Entity type: Individual)
- **Enumerated:** January 29, 2015
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **Sole proprietor:** No
## Practice location
- **Address:** 1450 N LAKE AVE, STE 150, Pasadena, CA 91104-2301
- **Phone:** (626) 794-6071
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Blossom Wellness Spa Inc (NPI 1336858869, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** January 31, 2015
---
Source: [NPI Profile](https://npiprofile.com/npi/1740670629) · Data from the CMS NPPES public registry.