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

MS. Kathryn Nicole Wong

Individual provider Physician Assistant · NPI 1366168676

MS. Kathryn Nicole Wong is a Physician Assistant in Burbank, California. Qualified in 2022, 4 years ago. Practices with Providence Facey Medical Foundation, a 323-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3413 W Pacific Ave
Burbank, CA 91505-1555
Phone: (818) 841-3936
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (CA)

Record details

NPI number1366168676
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 18, 2022
Last updated in NPPESJanuary 7, 2023
Certification dateOctober 31, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Providence Facey Medical Foundation — 323 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients301
Services billed 1,494 a service is one billed item, such as a visit, a test or a procedure
Average patient age77

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Majesty Home Health Home health agency · Northridge, CA · listed as Majesty Home Health, Inc
  • Providence Saint Joseph Medical Ctr Hospital · Burbank, CA

Colleagues at Providence Facey Medical Foundation

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 323 clinicians in the practice; 12 are shown here.

Other providers in Burbank