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

Wayne Bon Wong

Individual provider Physical Therapist · NPI 1619868148

Wayne Bon Wong is a Physical Therapist in Private Practice in San Ysidro, California. Qualified in 2024, 2 years ago. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2025

Practice location Address checks out

3364 Beyer Blvd
San Ysidro, CA 92173-1322
Phone: (619) 205-4585
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 308177 (CA)

Record details

NPI number1619868148
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 12, 2025
Last updated in NPPESJuly 12, 2025
Certification dateJuly 12, 2025
Mailing address4319 Corral Canyon Rd, Bonita, CA 91902-3015

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in San Ysidro