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

Timothy Wong, LMFT

Individual provider Marriage & Family Therapist · NPI 1093970618

Timothy Wong, LMFT is a Marriage and Family Therapist in Tracy, California. Qualified in 2009, 17 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
17
Licensed in
CA
In the registry since
2008
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

2185 W Grant Line Rd
Tracy, CA 95377-7309
Phone: (209) 839-3200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 80325 (CA)

Record details

NPI number1093970618
Entity typeIndividual (Type 1)
GenderMale
Credentials LMFT
Sole proprietorNo
NPI enumeratedJuly 23, 2008
Last updated in NPPESJanuary 3, 2022
Certification dateApril 23, 2020
Mailing address2185 W Grant Line Rd, Tracy, CA 95377-7309

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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