DR. JASON M WONG (NPI# 1114149002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114149002 |
| Entity Type | Individual |
| Full Name | DR. JASON M WONG |
| Credential | M.D. |
| Practice Address |
114 5th Avenue Redwood City CA 94063 |
| Mailing Address |
370 Altair Way Pmb #263 Sunnyvale CA 94086 |
| Practice Telephone | 6508391447 |
| Mailing Telephone | 6508391447 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G072282 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245705805 | Jason Frank Wong | Orthotist | 8143 Gandy Dancer Way, Sacramento, CA 95823-5928 | 2018-10-10 |
| 1871031815 | Jason Wong | Pharmacist | 82-69 Parsons Blvd, Jamaica, NY 11373 | 2017-02-10 |
| 1942645528 | Jason Wong | Dentist | 695 E Cottonwood Ln, Casa Grande, AZ 85122-2023 | 2013-05-08 |
| 1831404532 | Jason Wong | Pharmacist | 9450 Las Tunas Dr, Temple City, CA 91780-2138 | 2010-08-18 |
| 1952541229 | Jason Wong | Physical Therapist | 1540 2nd St Ste A, Santa Monica, CA 90401-2303 | 2009-02-26 |
| 1750590014 | Jason Gilbert Wong | Dentist | 721 W Whittier Blvd Ste B, La Habra, CA 90631-3771 | 2007-05-22 |
| 1821052242 | Jason H Wong | Specialist | 3711 Pacific Ave, Ste. 200, Tacoma, WA 98418-7800 | 2006-04-13 |
| 1376170449 | Jason Patrick Wong | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Orange, CA 92868-3201 | 2020-03-26 |
| 1194363598 | Jason Soongjee Wong | Student in an Organized Health Care Education/Training Program | Ucsb Counseling and Psychological Services Building 599, Santa Barbara, CA 93106-0001 | 2019-12-16 |
| 1326607813 | Jason C Wong | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Ste 5512, West Hollywood, CA 90048-1804 | 2019-06-10 |
| Street Address |
114 5TH AVENUE |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578104378 | Jade Francetich | Psychologist | 450 Broadway St., Pavilion B 2nd Floor, Redwood City, CA 94063 | 2019-10-02 |
| 1861052060 | County of San Mateo | Clinic/Center | 1300 Maple St., Redwood City, CA 94063 | 2019-06-19 |
| 1750941977 | County of San Mateo | Clinic/Center | 300 Bradford St., Redwood City, CA 94063 | 2019-06-19 |
| 1023678661 | Linda K Watanabe | Preventive Medicine | 700 Bay Rd. #2803, Redwood City, CA 94063 | 2019-06-17 |
| 1235630369 | Waverly Place Apartments, Lp | Case Management | 105 Waverly Place, Redwood City, CA 94063 | 2018-02-23 |
| 1306371679 | Caely Alise Hambro | Student in an Organized Health Care Education/Training Program | Stanford Dermatology, 430 Broadway, Redwood City, CA 94063 | 2017-04-25 |
| 1609316736 | Justine Nicole Dela Cruz | Nurse Practitioner | 420 Broadway St # D, Redwood City, CA 94063 | 2017-03-08 |
| 1336683234 | Babita Chopra | Pharmacist | 2300 Middlefield Road, Redwood City, CA 94063 | 2016-12-12 |
| 1073065595 | Diana Genoveva Posner I | Counselor | 604 Prince Ave. Ste A, Redwood City, CA 94063 | 2016-11-01 |
| 1295288264 | Benjamin Dickter | Student in an Organized Health Care Education/Training Program | 1107 2nd Ave, Apt 103, Redwood City, CA 94063 | 2016-07-26 |
| Find all providers in zip 94063 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275692048 | Anup Mahesh Desai | Family Medicine | 272 Upland Rd, Redwood City, CA 94062-2757 | 2006-12-07 |
| 1497857999 | Mark M Lessner | Family Medicine | 968-r Woodside Rd, Redwood City, CA 94061 | 2006-09-04 |
| 1932125135 | Gurpreet Kaur Padam | Family Medicine | 900 Veterans Blvd, Suite 300, Redwood City, CA 94063-1715 | 2006-07-14 |
| 1548299027 | Peter J Bullock | Family Medicine | 143 Birch St, Redwood City, CA 94062-1306 | 2006-06-30 |
| 1174137186 | Whitney L Weyhing | Family Medicine | 450 Broadway St, Redwood City, CA 94063-3132 | 2020-09-07 |
| 1174025480 | Andrea Michelle Smith | Family Medicine | 4200 Farm Hill Blvd, Redwood City, CA 94061-1030 | 2018-03-02 |
| 1821524711 | Donna Marie Tambot Veridiano | Family Medicine | 900 Veterans Blvd Ste 150, Redwood City, CA 94063-1741 | 2017-05-11 |
| 1487001061 | Brandon Flores | Family Medicine | 450 Broadway St Fl 2, Redwood City, CA 94063-3132 | 2016-05-24 |
| 1366848301 | Spencer B Wong | Family Medicine | 4200 Farm Hill Blvd, Redwood City, CA 94061-1030 | 2014-11-18 |
| 1942575998 | Alka Mithal | Family Medicine | 114 5th Ave, Redwood City, CA 94063-3604 | 2012-03-08 |
| Find all providers in REDWOOD CITY | ||||
| City | REDWOOD CITY |
| Zip Code | 94063 |
Please comment or provide details below to improve the information on DR. JASON M 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.