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

Johnson Wong

Individual provider Physician Assistant · NPI 1134517980

Johnson Wong is a Physician Assistant in Phoenix, Arizona. Qualified in 2014, 12 years ago. Practices with Brian S Page DO PLLC, a 17-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
12
Licensed in
AZ
In the registry since
2015
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Practice location Address checks out

21001 N Tatum Blvd
Phoenix, AZ 85050-4206
Phone: (480) 306-7832
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6358 (AZ)

Record details

NPI number1134517980
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 2, 2015
Last updated in NPPESMay 12, 2021
Certification dateMay 12, 2021
Mailing address21001 N Tatum Blvd, Phoenix, AZ 85050-4206

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Brian S Page Do Pllc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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