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NPISignal

Individual Healthcare Provider

Christine Y Wong, MD

NPI Record: ActiveDermatology — Pediatric Dermatology
NPI1194284992
Calabasas, California

Provider's NPPES record last updated: October 2, 2024

Overview

Entity Type
Individual Healthcare Provider
NPI
1194284992
Primary Specialty
Dermatology — Pediatric Dermatology
Practice Location
Calabasas, California
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 12:52 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Dermatology

    Pediatric Dermatology

    Allopathic & Osteopathic Physicians

    Primary

    A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.

    Taxonomy code 207NP0225X

Provider-Reported License Information

Dermatology (California)
A179147
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

26585 Agoura Rd Ste 320

Calabasas, California 91302-1958

Phone: (818) 878-0070

Additional Practice Location

450 Broadway St Fl C2

Redwood City, California 94063-3132

Phone: (650) 721-7193

Record Information

Enumeration Date
March 19, 2019
Provider's NPPES Record Last Updated
October 2, 2024
Certification Date
October 2, 2024
NPISignal NPPES Dataset
August 2026

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