CURTIS SF WONG, MD, INC (NPI# 1144524232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144524232 |
| Entity Type | Organization |
| Organization Name | CURTIS SF WONG, MD, INC |
| Other Organization Name | NORCAL AESTHETIC PLASTIC SURGERY |
| Practice Address |
2440 Sister Mary Columba Dr Suite 200 Red Bluff CA 96080-4356 |
| Practice Telephone | 5306902424 |
| Practice Fax Number | 5306902426 |
| Mailing Telephone | 5306902424 |
| Mailing Fax Number | 5306902426 |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-01-04 |
| Authorized Official Name | DR. CURTIS SF WONG (PRESIDENT) |
| Authorized Official Telephone | 5306902424 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
G74386 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE ID - UNSPECIFIED | 00G743860 | 01 |
| CA | 00G743860 | 05 |
| Other Name | Type Code |
|---|---|
| Norcal Aesthetic Plastic Surgery | Other Name - Individual/Organization |
| Street Address |
2440 SISTER MARY COLUMBA DR SUITE 200 |
| City | RED BLUFF |
| State | CA |
| Zip Code | 96080-4356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427078393 | Michael Chad Kingsley | Family Medicine | 2440 Sister Mary Columba Dr, Ste 300, Red Bluff, CA 96080-4356 | 2006-07-20 |
| 1821462938 | Eric Rudnick | Emergency Medicine | 2440 Sister Mary Columba Dr, Red Bluff, CA 96080-4356 | 2015-12-01 |
| 1336212752 | Kay Stephens | Surgery | 2440 Sister Mary Columba Dr, Suite 100, Red Bluff, CA 96080-4356 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578912408 | Gillian Lilo Prothro | Registered Nurse | 1425 Montgomery St., Red Bluff, CA 96080 | 2016-06-10 |
| 1154739373 | Gisela Vazquez Sandoval | Counselor | 818 Walnut St, Red Bluff, CA 96080 | 2014-07-31 |
| 1215348883 | Courtney Cathleen Coenen | Non-emergency Medical Transport (VAN) | 320 Michael Drive, Red Bluff, CA 96080 | 2014-05-16 |
| 1023451986 | Nhuha Thi Le | Registered Nurse | 1860 B Walnut St, Red Bluff, CA 96080 | 2013-04-10 |
| 1184991580 | Maria Arendina Los | Registered Nurse | 818 Main Street, Tehama County Health Services Agency, Red Bluff, CA 96080 | 2011-11-30 |
| 1558682195 | Metasebia Bekele | Physician Assistant | 1850 Walnut Street, Red Bluff, CA 96080 | 2010-06-17 |
| 1821314238 | Cynthia Louise Funderburk | Nurse's Aide | 1860 B Walnut Street, Red Bluff, CA 96080 | 2010-04-09 |
| 1285865485 | Phillip John Velador Jr. | Licensed Vocational Nurse | 1860b Walnut Street, Red Bluff, CA 96080 | 2009-08-05 |
| 1609010347 | Lori Kay Mccaughey | Registered Nurse | 1860b Walnut St, Red Bluff, CA 96080 | 2009-04-24 |
| 1467668616 | Tehama County Health Services Agency - Mental Health Division | Clinic/Center | 1860 Walnut Street, Suite A, B, D and J, Red Bluff, CA 96080 | 2007-05-15 |
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| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 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.