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

Individual provider Registered Dietitian · NPI 1043540800

MS. Shamrock Wong, RD is a Registered Dietitian OR Nutrition Professional in San Jose, California. Qualified in 2020, 6 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2009
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

6315 Mountford Dr
San Jose, CA 95123-5246
Phone: (408) 893-4115
Fax: (408) 629-7329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 960957 (CA)

Record details

NPI number1043540800
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorYes
NPI enumeratedDecember 30, 2009
Last updated in NPPESDecember 30, 2009

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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