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

Taylor Wong

Individual provider Physician Assistant · NPI 1376403121

Taylor Wong is a Physician Assistant in Modesto, California. Qualified in 2025, 1 year ago. Practices with Cep America - California, a 1,267-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025

Practice location Address checks out

1441 Florida Ave
Modesto, CA 95350-4418
Phone: (209) 578-1211
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA67824 (CA)

Record details

NPI number1376403121
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 14, 2025
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026
Mailing address5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390-9090

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)
Group practice Cep America - California — 1267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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