Individual provider · Type 1 NPI

Diana Wing-Yi Wong, AGACNP-BC, CCRN, CSC

Nurse Practitioner · San Jose, CA

NPI number 1003750373 Active

Practice location

1990 Fruitdale Ave
San Jose, CA 95128-2795

Call (408) 998-8447 Map

Mailing address

1675 Ebbetts Dr
Campbell, CA 95008-5111

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95027538 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1003750373

Diana Wing-Yi Wong, AGACNP-BC, CCRN, CSC's National Provider Identifier is 1003750373, issued on Apr 16, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Jose, CA. The record was last updated on Apr 16, 2026.