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

Jerry Wong

Individual provider Registered Nurse · NPI 1124694377

Jerry Wong is a Nurse Practitioner in Oakland, California. Qualified in 2019, 7 years ago. Practices with One Medical Group Inc, a 328-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

3850 Grand Ave
Oakland, CA 94610-1004
Phone: (888) 663-6331
Fax: (415) 252-7176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95024472 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95244991 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95024472 (CA)

Record details

NPI number1124694377
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 28, 2021
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025
Mailing address1 Embarcadero Ctr Ste 1900, San Francisco, CA 94111-3723

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice One Medical Group Inc — 328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Oakland