Individual provider · Type 1 NPI

Jerry Wong

Nurse Practitioner · Oakland, CA

NPI number 1124694377 Active

Practice location

3850 Grand Ave
Oakland, CA 94610-1004

Fax (415) 252-7176

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723

Other practice locations

  • 818 Webster St, Oakland, CA 94607-4220 · (510) 986-6800
  • 750 Redwood Hwy Frontage Rd Ste 1210, Mill Valley, CA 94941-2483 · (888) 663-6331

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X95244991 (CA)
Family Nurse Practitioner 363LF0000X95024472 (CA)
Nurse Practitioner Primary 363L00000X95024472 (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 1124694377

Jerry Wong's National Provider Identifier is 1124694377, issued on May 28, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Oakland, CA. The record was last updated on Mar 4, 2025.