KALANE JADE WONG (M.D.) – Ophthalmology Physician, NPI 1114905494

Ophthalmology Physician

KALANE JADE WONG (M.D.) is a healthcare provider. based in Santa rosa, California. specializing in Ophthalmology Physician. They hold the professional credentials M.D.. They hold a License No. G62085 (CA). The NPI Number for KALANE JADE WONG (M.D.) is 1114905494

Main info

Female

40 Years Of Experience

Accepts Medicare Assignment

Name

KALANE JADE WONG (M.D.)

NPI

1114905494

Phone

(707) 546-9800

Address

3536 MENDOCINO AVE

Enumeration Date

5 January 2006

Last Update Date

20 June 2012

Doctor Profile

Medical School Name

UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE

Secondary Phone

7075469800

Graduation Year

1986 (40 years ago)

PAC ID

5294808549

Group Practice PAC ID

7315010766

Professional Enrollment ID

I20080718000452

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for KALANE JADE WONG (M.D.)

3536, Mendocino Avenue, Santa Rosa, Sonoma County, California, 95401, United States
STE 200
SANTA ROSA, CA 954033634
Phone: (707) 546-9800
Fax: (707) 546-4112
Type: Mailing
1017, 2nd Street, Santa Rosa, Sonoma County, California, 95404, United States
SANTA ROSA, CA 954046608
Phone: (707) 546-9800
Fax: (707) 546-4112
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95403)

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Provider's Procedures

KALANE JADE WONG (M.D.) performs procedures in Ophthalmology Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
OPHTHALMOLOGY	CA	92083	Measurement of field of vision during daylight conditions	492	421
OPHTHALMOLOGY	CA	92134	Diagnostic imaging of retina	348	331

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 7315010766View full group profile

Name	Specialty	State
DR. ARWA ALSAMARAE (M.D.)	O P H T H A L M O L O G Y	MI
AVNI A SHAH (MD)	O P H T H A L M O L O G Y	CA
DANIEL GEORGE RICH (M.D.)	O P H T H A L M O L O G Y	CA
DR. VENKATESH BRAHMA (M.D.)	O P H T H A L M O L O G Y	NJ
DR. NINA NI (MD)	O P H T H A L M O L O G Y	CA
ROBERT LOUIS ANDERSON (M.D.)	-	CA
BRUCE P ABRAMSON (O.D.)	O P T O M E T R Y	CA
LILLIAN YANG (MD)	O P H T H A L M O L O G Y	CA
MADELINE DIANNE RIPA (M.D.)	O P H T H A L M O L O G Y	IL

Reviews

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Frequently asked questions

Can I verify KALANE JADE WONG (M.D.) with an NPI only?

You can start verification with NPI 1114905494 for KALANE JADE WONG (M.D.), then check state licensing separately.

Does the file indicate KALANE JADE WONG (M.D.) is practicing under active NPI?

Directory data currently reports KALANE JADE WONG (M.D.) as active.

What taxonomy line describes KALANE JADE WONG (M.D.)?

For research purposes, treat KALANE JADE WONG (M.D.) as Ophthalmology Physician in this dataset. Clinical services aligned with this taxonomy classification.

Where should I expect KALANE JADE WONG (M.D.) on a map?

Expect Santa Rosa, California as a primary anchor for KALANE JADE WONG (M.D.) unless the record lists multiple sites.

What does 'Individual Provider' mean on this profile?

Entity type tells you whether the number belongs to a person or an organization.