IndividualActive
Stephanie Wong, PA-C
NPI 1346904604 · Physician Assistant · Irvine, CA
Provider details
- NPI number
- 1346904604
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- PA60180 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
19742 Macarthur Blvd
Irvine, CA 92612-2432
Phone: (949) 428-0330
Street-level locationGet directions
Mailing address
18 Wild Rose Pl
Aliso Viejo, CA 92656-7058
Additional practice locations (1)
- 333 Thalia StLaguna Beach, CA 92651-2713Phone: (949) 499-0577
Registry dates
- Enumerated
- 2021-10-23
- Last updated
- 2021-10-23
- Certified
- 2021-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.