JASON FRANK WONG (NPI# 1245705805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245705805 |
| Entity Type | Individual |
| Full Name | JASON FRANK WONG |
| Credential | BOCO BOCP |
| Practice Address |
8143 Gandy Dancer Way Sacramento CA 95823-5928 |
| Practice Telephone | 9167528905 |
| Mailing Telephone | 9167528905 |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | C50840 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 224P00000X | Prosthetist | C50840 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1114149002 | Jason M Wong | Family Medicine | 114 5th Avenue, Redwood City, CA 94063 | 2007-05-02 |
| 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 |
8143 GANDY DANCER WAY |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95823-5928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343422 | Renee Yvonne Friesner | Registered Nurse | 6965 65th Street, Sacramento, CA 95823 | 2020-10-12 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1114562766 | Daniel & Max, LLC | Optometrist | 4200 Florin Road, Suite C, Florin, CA 95823 | 2019-11-07 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1932768280 | Sprenger Behavioral Medicine, Inc | Psychiatry & Neurology | 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 | 2019-06-11 |
| 1306316880 | Evin Johnson | Case Manager/Care Coordinator | 7000 Franklin Blvd Suite 625, Sacramento, CA 95823 | 2018-11-28 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1891298923 | Nicholas Joseph Henderson | Behavior Technician | 6500 47th Street Apt#76, Sacramento, CA 95823 | 2018-03-15 |
| 1427567098 | Luz Maria Udave | Behavior Technician | 5435 Mack Rd Apt 87, Sacramento, CA 95823 | 2017-09-26 |
| 1417474743 | Elizabeth Smithers | Behavior Technician | 5545 Sky Parkway #202, Sacramento, CA 95823 | 2017-08-28 |
| Find all providers in zip 95823 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780964999 | Richard Lyman Wilcox | Prosthetist | 2425 Stockton Blvd, Suite 236, Sacramento, CA 95817-2215 | 2011-08-18 |
| 1164718235 | George Villarruel | Prosthetist | 3001 L St, Sacramento, CA 95816-5225 | 2011-06-27 |
| 1932349883 | Eric J Smith | Prosthetist | 3001 P St, Suite B, Sacramento, CA 95816-6546 | 2009-03-04 |
| 1245492701 | Clint Jonutz | Prosthetist | 3838 Watt Ave Ste A110, Sacramento, CA 95821-2689 | 2008-06-26 |
| 1295924041 | Ann Theobald | Prosthetist | 1248 32nd St, Sacramento, CA 95816-5210 | 2007-10-17 |
| 1760671515 | Christine A Meyer | Prosthetist | 1248 32nd St, Sacramento, CA 95816-5210 | 2007-10-17 |
| 1720276025 | Bryan Hayes | Prosthetist | 1248 32nd St, Sacramento, CA 95816-5210 | 2007-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134752942 | Elizabeth Olajide | Prosthetist | 43536 Gadsden Ave Apt 324, Lancaster, CA 93534-6036 | 2020-02-20 |
| 1831733948 | Shayla R Williams | Prosthetist | 11050 Strathmore Dr Apt 422, Los Angeles, CA 90024-2319 | 2019-10-31 |
| 1578111290 | Charmie Johnson | Prosthetist | 7309 University Ave Ste B, La Mesa, CA 91942-0525 | 2019-08-27 |
| 1790341915 | Gloria Tatiana Dixon | Prosthetist | 32366 Evening Primrose Trl, Campo, CA 91906-3162 | 2019-05-13 |
| 1629633219 | Duana Robinson | Prosthetist | 1430 Brandon Dewey Ln, Tracy, CA 95304-5981 | 2019-05-08 |
| 1366908741 | Alicia Lander | Prosthetist | 5252 Foothill Blvd, Oakland, CA 94601-5438 | 2019-02-11 |
| 1154895944 | Keyonia K Paramore | Prosthetist | 735 W Pacific Coast Hwy, Long Beach, CA 90806-5240 | 2019-01-15 |
| 1629544499 | Alexander Hetherington | Prosthetist | 1500 Owens St Ste 115, San Francisco, CA 94158-2338 | 2018-10-19 |
| 1255815155 | Mary Alice Swiney | Prosthetist | 3437 Stocker St Apt 4, Los Angeles, CA 90008-3730 | 2018-09-18 |
| 1285113951 | Janet Miller | Prosthetist | 6662 Charlene Ave, San Diego, CA 92114 | 2018-08-13 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95823 |
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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.