DR. JACK K WONG MD
NPI 1790725539
Family Medicine in Costa Mesa, CA

Q: What is Jack Wong's NPI number?

The NPI number for Jack Wong is 1790725539. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Q: What is Jack Wong's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Wong was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 June 08, 2006

3200 BRISTOL ST STE 600, COSTA MESA, CA 92626(805) 217-7904 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jack K Wong Md NPPES

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

DR. JACK K WONG MD (NPI 1790725539) is an individual family medicine provider in Costa Mesa, California, licensed in California (C50860) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1790725539

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JACK K WONGCredential: MD

Location Address3200 BRISTOL ST STE 600Costa Mesa, CA 92626-1810

Mailing Address3200 Bristol St Ste 600Costa Mesa, CA 92626-1810

Phone(805) 217-7904

Sole ProprietorNo

Enumeration DateJune 8, 2006

Last NPPES UpdateNovember 19, 2025

NPPES CertifiedNovember 19, 2025

✔ NPI 1790725539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · C50860

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3200 BRISTOL ST STE 600, Costa Mesa, CA 92626

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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 Jack Wong's NPI number?

The NPI number for Jack Wong is 1790725539. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Jack Wong located?

Jack Wong practices at 3200 Bristol St Ste 600, Costa Mesa, CA 92626. The listed phone number is (805) 217-7904.

What is Jack Wong's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jack Wong was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.