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JUSTINA WONG
NPI 1740670629
Counselor - Addiction (Substance Use Disorder) in Pasadena, CA

Active since January 29, 2015PECOS Enrolled
1450 N LAKE AVE, STE 150, PASADENA, CA 91104(626) 794-6071 Get Directions Write a Review

NPPES record last updated: January 31, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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

NPI1740670629
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJUSTINA WONG
Location Address1450 N LAKE AVE, STE 150Pasadena, CA 91104-2301
Mailing Address1450 N Lake Ave, Ste 150Pasadena, CA 91104 · (626) 794-6071
Phone(626) 794-6071
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 29, 2015
Last NPPES UpdateJanuary 31, 2015
✔ NPI 1740670629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1450 N LAKE AVE, Pasadena, CA 91104
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justina Wong is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830685908
PECOS Enrollment IDI20251229002551
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.

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.

MS. JEANETTE IRENE NELSON MCEVEETY RRW
Counselor (Addiction (Substance Use Disorder))
1450 N LAKE AVE
PASADENA, CA 91104
Los Angeles County (626) 798-6970
JAN HERMANN CLMT
Massage Therapist
1450 N LAKE AVE
PASADENA, CA 91104
Los Angeles County (626) 798-7805
PHILLIP CODD CADC
Counselor (Addiction (Substance Use Disorder))
1450 N LAKE AVE
PASADENA, CA 91104
Los Angeles County (626) 794-1161
JESSICA LOPEZ
Student in an Organized Health Care Education/Training Program
1450 N LAKE AVE
PASADENA, CA 91104
Los Angeles County (626) 794-1161
JAGVINDER SINGH MEDICAL CORP
Internal Medicine (Geriatric Medicine)
1450 N LAKE AVE, SUITE A
PASADENA, CA 91104
Los Angeles County (626) 797-5500
JENNA DELEO
Counselor (Addiction (Substance Use Disorder))
1450 N LAKE AVE
PASADENA, CA 91104
Los Angeles County (626) 564-4242
GEORGE MITCHELL
Counselor (Addiction (Substance Use Disorder))
1450 N LAKE AVE
PASADENA, CA 91104
Los Angeles County (626) 564-4240
ROCKWELL ANTHONY MORENO
Counselor (Addiction (Substance Use Disorder))
1450 N LAKE AVE
PASADENA, CA 91104
Los Angeles County (626) 794-1161

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.

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.