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

Kevin Michael Wong

Individual provider Physician Assistant · NPI 1679229389

Kevin Michael Wong is a Physician Assistant in Stockton, California. Qualified in 2022, 4 years ago. Practices with Team Physicians of California Medical Group Inc, a 88-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
Specialties on file
3

Practice location Address checks out

1800 N California St
Stockton, CA 95204-6019
Phone: (209) 943-2000
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA62279 (CA)
Physician Assistant Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1679229389
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 22, 2022
Last updated in NPPESOctober 10, 2024
Certification dateOctober 10, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Team Physicians Of California Medical Group Inc — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stockton