JUSTIN WONG D.O.
NPI 1831574482
Student in an Organized Health Care Education/Training Program in Pasadena, CA

Active since July 24, 2015PECOS EnrolledAccepts Medicare Assignment
100 W CALIFORNIA BLVD, PASADENA, CA 91105(626) 397-5000 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justin Wong D.o. NPPES

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

JUSTIN WONG D.O. (NPI 1831574482) is an individual student in an organized health care education/training program in Pasadena, California and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1831574482
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUSTIN WONGCredential: D.O.
Location Address100 W CALIFORNIA BLVDPasadena, CA 91105-3010
Mailing Address100 W California BlvdPasadena, CA 91105-3010
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 24, 2015
Last NPPES UpdateNovember 30, 2021
NPPES CertifiedNovember 30, 2021
NPI 1831574482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
100 W CALIFORNIA BLVD, Pasadena, CA 91105

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Justin Wong D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547501892
PECOS Enrollment IDI20190415000513
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.

Nurse Practitioner (Acute Care)
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Anesthesiology
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Registered Nurse (Registered Nurse First Assistant)
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Radiology (Diagnostic Radiology)
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Pain Medicine (Pain Medicine)
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Rehabilitation Unit
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Hospitalist
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Emergency Medicine
100 W CALIFORNIA BLVD
PASADENA, CA 91105

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 Justin Wong's NPI number?

The NPI number for Justin Wong is 1831574482. It was assigned to this individual provider in the NPPES registry on July 24, 2015.

Where is Justin Wong located?

Justin Wong practices at 100 W California Blvd, Pasadena, CA 91105. The listed phone number is (626) 397-5000.

What is Justin Wong's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Justin Wong enrolled in Medicare?

Yes. Justin Wong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Justin Wong was last updated on November 30, 2021. 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.