Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brendan Wong

Individual provider Physician Assistant · NPI 1619767621

Brendan Wong is a Physician Assistant in Los Banos, California. Qualified in 2025, 1 year ago. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

520 W I St
Los Banos, CA 93635-3419
Phone: (209) 826-0591
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence PA66652 (CA)

Record details

NPI number1619767621
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 12, 2025
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025
Mailing address3834 Silvana Ln, Stockton, CA 95212-3118

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Los Banos