Individual provider · Type 1 NPI

Jeffrey Wong, PA-C

Surgical Physician Assistant · Clovis, CA

NPI number 1386598910 Active

Practice location

604 N Magnolia Ave Ste 100
Clovis, CA 93611-9205

Fax (559) 320-0558

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant 363AM0700X68464 (CA)
Surgical Physician Assistant Primary 363AS0400X68464 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1386598910

Jeffrey Wong, PA-C's National Provider Identifier is 1386598910, issued on Feb 23, 2026. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Clovis, CA. The record was last updated on Jul 16, 2026.