MS. ELIZABETH XIU-JUAN WONG (NPI# 1114131067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114131067 |
| Entity Type | Individual |
| Full Name | MS. ELIZABETH XIU-JUAN WONG |
| Credential | RDHAP |
| Practice Address |
330 Light House Way Sacramento CA 95831-3214 |
| Practice Telephone | 9165415007 |
| Mailing Telephone | 9165415007 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | HAP 113 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720492143 | Elizabeth Sue Mun Wong | Physician Assistant | 8534 Rosecrans Ave, Paramount, CA 90723-3644 | 2014-06-13 |
| 1407911597 | Elizabeth Wong | Pediatrics | 55 W Union Ave, Bound Brook, NJ 08805 | 2006-12-27 |
| 1134786288 | Elizabeth M Wong | Nurse Practitioner | 619 W Fm 544 Ste 1b, Murphy, TX 75094-4587 | 2019-05-23 |
| 1043705429 | Elizabeth Wong | Behavioral Analyst | 1600 Potrero Grande Dr Ste 7, Rosemead, CA 91770 | 2018-06-27 |
| 1689024432 | Elizabeth Wong | Social Worker | 15544 S Clackamas River Dr, Oregon City, OR 97045-9490 | 2016-06-13 |
| 1063893873 | Elizabeth Wong | Counselor | 4150 Clement St, San Francisco, CA 94121-1545 | 2015-06-17 |
| 1023495744 | Elizabeth Shonglee Wong | Registered Nurse | 4150 Clement St, San Francisco, CA 94121-1545 | 2015-05-01 |
| 1861884405 | Elizabeth Wong | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2015-02-19 |
| 1508148560 | Elizabeth Wong | Pharmacist | 260 El Camino Real, Burlingame, CA 94010-5120 | 2011-09-15 |
| 1578859799 | Elizabeth Wong | Occupational Therapist | 1150 S Bascom Ave, Suite 8, San Jose, CA 95128-3509 | 2011-06-27 |
| Street Address |
330 LIGHT HOUSE WAY |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95831-3214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063930584 | Oliver Insixiengmay | Behavior Technician | 112 Fountain Oaks Cir Apt 244, Sacramento, CA 95831 | 2017-09-05 |
| 1194240630 | Kevin Christofer Abdelnour | Specialist/Technologist | 6866 Sailboat Way, Sacramento, CA 95831 | 2017-08-05 |
| 1508389958 | Another Choice Anothe Chance | Substance Abuse Rehabilitation Facility | 6715 Goria Drive Rooms 1 & A, Sacramento, CA 95831 | 2017-07-18 |
| 1225568819 | Taylor Shahbazian | Behavior Technician | 6660 Harmon Drive, Sacramento, CA 95831 | 2017-06-15 |
| 1639618572 | Dignity Care Medical Transportation | Nursing Care | 7230 Saouth Land Park Drive, Suite 101, Sacramento, CA 95831 | 2017-02-13 |
| 1417307208 | Cecilia Vasquez | Counselor | 1026 Florin Road, #198, Sacramento, CA 95831 | 2016-06-13 |
| 1750765053 | Sacramento Physicians Medical Group, Inc. | Clinic/Center | 7248 South Land Park Dr, 200, Sacramento, CA 95831 | 2015-07-16 |
| 1346660818 | Bruce Wright | Driver | 7485 Rush River, Suite 710 #186, Sacramento, CA 95831 | 2014-04-23 |
| 1477993376 | Brenda Ho, Dds, Inc. | Clinic/Center | 905 Secret River Drive, Suite E, Sacramento, CA 95831 | 2013-06-25 |
| 1285977686 | Julie Christine Kwong | Physical Therapist | 7077 Rush River Drive, Sacramento, CA 95831 | 2013-04-03 |
| Find all providers in zip 95831 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598395741 | Denise Marie Canacari | Dental Hygienist | 1509 38th St, Sacramento, CA 95816-6711 | 2020-01-16 |
| 1568875136 | Maggie Lo Oto | Dental Hygienist | 6403 N Point Way, Sacramento, CA 95831-1083 | 2014-06-11 |
| 1720408933 | Mercedeh Arshi | Dental Hygienist | 1900 Danbrook Dr Unit 1612, Sacramento, CA 95835-1686 | 2014-04-27 |
| 1134553571 | Lenka Agatha Korbelich | Dental Hygienist | 6943 S Land Park Dr, Sacramento, CA 95831-3135 | 2013-08-21 |
| 1962741173 | Stephanie M Amey | Dental Hygienist | 3748 Kos Island Ave, Sacramento, CA 95834-7643 | 2013-02-07 |
| 1629357454 | Shirley L Thompson | Dental Hygienist | 1111 24th St Ste 204, Sacramento, CA 95816-5019 | 2011-08-10 |
| 1295973386 | Patricia Owens | Dental Hygienist | 3721 Clubside Lane, Sacramento, CA 95835-2005 | 2009-01-27 |
| 1477678878 | Cynthia Ward Masterson | Dental Hygienist | 2561 Avalon Dr, Sacramento, CA 95821-6605 | 2007-03-21 |
| 1891777207 | Tonya Elaine Clark | Dental Hygienist | 1786 Bannon Creek Dr, Sacramento, CA 95833-1518 | 2005-11-19 |
| 1306383146 | Momia Javed | Dental Hygienist | 5261 Elkhorn Blvd, Sacramento, CA 95842-2506 | 2017-01-31 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95831 |
Please comment or provide details below to improve the information on MS. ELIZABETH XIU-JUAN WONG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.