BREANE WONG (PA) – Physician Assistant, NPI 1659921039

Physician Assistant

BREANE WONG (PA) is a healthcare provider. based in Menlo park, California. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. PA57180 (CA). The NPI Number for BREANE WONG (PA) is 1659921039

Main info

Female

Sole Proprietor

7 Years Of Experience

Accepts Medicare Assignment

Name

BREANE WONG (PA)

NPI

1659921039

Phone

(530) 304-2438

Address

675 Sharon Park Dr Apt 321

Enumeration Date

17 September 2019

Last Update Date

1 May 2020

Doctor Profile

Medical School Name

WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED

Secondary Phone

5108187210

Graduation Year

2019 (7 years ago)

PAC ID

7113353004

Group Practice PAC ID

5698772101

Professional Enrollment ID

I20200213000779

Contacts

Other Endpoint

breane.wong@westernu.edu

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience36

Completeness85

Years active:6State licenses:1Other namesUpdated within 12 months

Provider Addresses for BREANE WONG (PA)

675 Sharon Park Dr Apt 321
Menlo Park, CA 940256911
Phone: (530) 304-2438
Type: Location
675 SHARON PARK DR APT 321
MENLO PARK, CA 940256911
Phone:
Type: Mailing
El Camino Real, Menlo Park, San Mateo County, California, 94025, United States
MENLO PARK, CA 940274127
Phone: (650) 325-1395
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.

This can happen when there are no reportable CMS Open Payments records.

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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCS	Description	Services	Beneficiaries	Medicare allowed
23472	Prosthetic repair of shoulder joint, total shoulder	19	19	$0

View full utilization report →

Insurance plans in this area (ZIP 94025)

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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: 5698772101View full group profile

Name	Specialty	State
MRS. KELLY KRISTINE HAWS (PHYSICIAN ASSISTANT)	-	CA
SHANNA MAE MCCUE (PA-C)	Physician Assistant	MA
JONATHAN PURTELL	Physician Assistant	CA
SOPHIA NECHAMA ANTOUN (PA-C)	Physician Assistant	CA
DR. JOHN TERRY DEARBORN (MD)	Orthopedic Surgery	CA
ERIK MCDONALD	Orthopedic Surgery	CA
JOHN GEORGE COSTOUROS (MD)	Orthopedic Surgery	CA
MR. GEORGE DAVID BRYAN (PA-C)	Physician Assistant	NV