MATTHEW WONG


Address: 751 S Bascom Ave, San Jose, CA 95128-2604
Phone: 4088855000

MATTHEW WONG (NPI# 1114457959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114457959
Entity Type Individual
Full Name MATTHEW WONG
Credential PA-C
Practice Address 751 S Bascom Ave
San Jose
CA 95128-2604
Mailing Address 798 Terra Bella Dr
Milpitas
CA 95035-4545
Practice Telephone 4088855000
Enumeration Date 2017-06-14
Last Update Date 2017-06-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Other Providers MATTHEW WONG

NPI Name Taxonomy Address Enumeration
1336593771 Matthew Shao-lin Wong Student in an Organized Health Care Education/Training Program 4401 Penn Avenue Suite 3300, Pittsburgh, PA 15224 2016-04-22
1033343017 Matthew Wong Psychologist 870 Emerald Bay Rd # 303, Box #3, South Lake Tahoe, CA 96150-9403 2009-05-06
1831723337 Matthew Wong Behavior Technician 25201 Paseo De Alicia Ste 110, Laguna Hills, CA 92653-4627 2020-02-24
1578123477 Matthew Wong Behavior Technician 1710 S Amphlett Blvd, San Mateo, CA 94402-2703 2019-06-13
1376020321 Matthew Wong Physician Assistant 5645 Main St, Flushing, NY 11355-5045 2018-07-23
1588187546 Matthew K Wong Registered Nurse 617 W 168th St, New York, NY 10032-3703 2017-07-21
1356715502 Matthew Wong Chiropractor 1400 N Dutton Ave, Ste 13, Santa Rosa, CA 95401-4657 2015-11-25
1255749222 Matthew Doc Ming Wong Pharmacist 10470 Twin Cities Rd, Galt, CA 95632-9032 2014-07-23
1306101746 Matthew H Wong Optometrist 3553 Whipple Rd, Union City, CA 94587-1507 2012-07-11
1255625620 Matthew Ling-yu Wong Student in an Organized Health Care Education/Training Program 1 Deaconess Rd, W-cc2, Boston, MA 02215-5321 2011-06-02

Office Location

Street Address 751 S BASCOM AVE
City SAN JOSE
State CA
Zip Code 95128-2604

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396743217 Ellen Perez Travis Nurse Practitioner 751 S Bascom Ave, San Jose, CA 95128-2604 2005-07-13
1235738691 Alina Bogdanovich Registered Nurse 751 S Bascom Ave, San Jose, CA 95128-2699 2020-10-17
1255946380 Kimberly Red Soria Nurse Practitioner 751 S Bascom Ave, San Jose, CA 95128-2604 2020-09-15
1568072403 Emily Win Hou Pharmacist 751 S Bascom Ave, San Jose, CA 95128-2604 2020-08-05
1649880063 Katherine Ann Trescott Speech-Language Pathologist 751 S Bascom Ave, San Jose, CA 95128-2604 2020-08-01
1992320386 Gino Dizon Legaspi Physical Therapy Assistant 751 S Bascom Ave, San Jose, CA 95128-2604 2020-06-11
1215552732 Emily Louise Masad Physician Assistant 751 S Bascom Ave, San Jose, CA 95128-2699 2020-06-10
1790300341 Laura Muzzatti Physical Therapist 751 S Bascom Ave, San Jose, CA 95128-2604 2020-06-09
1679195085 Raymond Chao Pharmacist 751 S Bascom Ave, San Jose, CA 95128-2604 2020-05-08
1407476765 Yoo Jung Kim Student in an Organized Health Care Education/Training Program 751 S Bascom Ave, San Jose, CA 95128-2604 2020-04-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982227138 Ruth Larsen Social Worker 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 2020-05-22
1265067185 Of Two Minds Psychotherapy Marriage & Family Therapist 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 2020-03-11
1982244166 Cindy Pantoja Escobar Behavior Technician 100 O'connor Drive, Suites 21, San Jose, CA 95128 2020-01-15
1104460591 Katherine Alexandra Misogas Pharmacist 777 Turner Dr # 330, San Jose, CA 95128 2019-10-29
1942842216 Jodie Pierce Marriage & Family Therapist 871 Enborg Lane, San Jose, CA 95128 2019-10-08
1003466434 Dong Mi Cha Pharmacist 777 Turner Dr Ste 330, San Jose, CA 95128 2019-09-17
1114571759 Sleep Well Acupuncture, Inc Acupuncturist 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 2019-08-01
1083277677 Wellocity, Inc Health Educator 334 Santana Row, 318, San Jose, CA 95128 2019-04-18
1518428812 Alexander Diaz Radiology 75 South Bascom Ave, San Jose, CA 95128 2019-03-28
1720542103 Nanci R Price Inc Chiropractor 100 O'connor Dr., Ste 27, San Jose, CA 95128 2019-01-30
Find all providers in zip 95128

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922607423 Emily Halla Physician Assistant 7473 Gresham Ct, San Jose, CA 95139-1424 2020-10-26
1881210029 Jeremy Nathan Birch Physician Assistant 1287 San Moritz Dr, San Jose, CA 95132-2754 2020-06-23
1609491158 Kaitlin Aquino Physician Assistant 1382 Bing Dr, San Jose, CA 95129-4703 2020-06-10
1275152282 Heema K Bhagat Physician Assistant 6967 Sessions Dr, San Jose, CA 95119-1335 2020-04-09
1013557925 Kassaundra Cervantes Physician Assistant 2114 Mckee Rd, San Jose, CA 95116-1427 2020-01-08
1508416207 Shelley Brunkan Physician Assistant 227 Giddings Ct, San Jose, CA 95139-1421 2019-09-14
1053960724 Caroline Luczak Physician Assistant 88 E San Fernando St, San Jose, CA 95113-2535 2019-09-05
1336704402 Irene Rummel Physician Assistant 1227 Gehrig Ave, San Jose, CA 95132-2714 2019-05-04
1801350749 Brenda H.t. Nguyen Physician Assistant 1102 Brooks Range Lndg, San Jose, CA 95131-3803 2019-01-24
1477021848 Christina Ly Physician Assistant 1569 Lexann Ave Ste 206, San Jose, CA 95121-1795 2018-11-05
Find all providers in SAN JOSE

Competitor

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City SAN JOSE
Zip Code 95128

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Dataset Information

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.

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