JERRY THWIN WONG (NPI# 1285935585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285935585 |
| Entity Type | Individual |
| Full Name | JERRY THWIN WONG |
| Credential | M.D. |
| Practice Address |
1500 East Duarte Road Duarte CA 91010 |
| Practice Telephone | 6262564673 |
| Practice Fax Number | 6263018463 |
| Mailing Telephone | 6262564673 |
| Mailing Fax Number | 6263018463 |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2017-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZH0000X |
Pathology Specialization: Hematology |
136242 | CA | Allopathic & Osteopathic Physicians |
| N | 207ZC0006X |
Pathology Specialization: Clinical Pathology |
288002 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134334642 | Jerry Steven Wong | Pharmacist | 1107 Gables Dr, Birmingham, AL 35244-2852 | 2007-05-10 |
| 1881734846 | Jerry Yee Wong | Dentist | 5631 Telephone Rd, Suite A, Houston, TX 77087-4485 | 2007-02-07 |
| Street Address |
1500 EAST DUARTE ROAD |
| City | DUARTE |
| State | CA |
| Zip Code | 91010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679599914 | Cathie T Chung | Internal Medicine | 1500 East Duarte Road, Machris Rm 2128, Duarte, CA 91010 | 2006-07-13 |
| 1588286157 | Elyssa Catherine Zukin | Genetic Counselor, MS | 1500 East Duarte Road, Duarte, CA 91010 | 2020-05-17 |
| 1568867240 | City of Hope | Special Hospital | 1500 East Duarte Road, Duarte, CA 91010 | 2014-10-24 |
| 1437561651 | Ilana Solomon | Genetic Counselor, MS | 1500 East Duarte Road, City of Hope, Division of Clinical Cancer Genetics, Duarte, CA 91010-3000 | 2014-05-22 |
| 1033435292 | City of Hope Medical Group, Inc. | Dermatology | 1500 East Duarte Road, Duarte, CA 91010-3000 | 2010-04-13 |
| 1811126683 | John Louis Raytis | Anesthesiology | 1500 East Duarte Road, Duarte, CA 91010 | 2009-07-14 |
| 1154579290 | Carmen April Sedgeman | Nurse Practitioner | 1500 East Duarte Road, Duarte, CA 91010 | 2008-09-03 |
| 1053448605 | Gregory David Hendrix | Pharmacist | 1500 East Duarte Road, Duarte, CA 91010 | 2007-02-28 |
| 1811032402 | Marvin Chow | Pharmacist | 1500 East Duarte Road, Duarte, CA 91010 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386266849 | Cheyenne King | Student in an Organized Health Care Education/Training Program | 1801 Huntington Drive, Duarte, Ca 91010, Duarte, CA 91010 | 2020-05-07 |
| 1114578028 | Cristian Gonzalez | Case Manager/Care Coordinator | 2250 E Foothill Ave, Pasadena, CA 91010 | 2019-09-23 |
| 1366932378 | Maisie Madrid | Marriage & Family Therapist | 1801 Huntington Drive, Duarte, CA 91010 | 2018-05-15 |
| 1598289571 | Bertha Maria Torres | Social Worker | 938 E. Huntington Drive, Unit A, Duarte, CA 91010 | 2017-08-01 |
| 1598292286 | Sheila Ramirez | Occupational Therapy Assistant | 2302 Citrus View Ave, Duarte, CA 91010 | 2017-05-12 |
| 1982059556 | Patricia Mendoza | Case Manager/Care Coordinator | 2502 E.huntington Dr., Duarte, CA 91010 | 2016-05-02 |
| 1770966178 | Sinziana Dumitra | Surgery | 1500 Durate Road California, Mob L001, Duarte, CA 91010 | 2015-07-02 |
| 1477940161 | Jin Sun L Bitar | Internal Medicine | 1500 Duarte Rd # Wing4, Duarte, CA 91010 | 2015-04-20 |
| 1659625622 | Jeanette Marie Petermann | Nurse Practitioner | 1036 East Huntington Drive, Duarte, CA 91010 | 2012-10-30 |
| 1649534397 | Nathaniel J Khoe Dds. Inc | Dentist | 1016 Huntington Drive, Duarte, CA 91010 | 2012-06-27 |
| Find all providers in zip 91010 | ||||
| Taxonomy Code | 207ZH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Hematology |
| A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851534549 | Olga V Danilova | Pathology | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2009-04-12 |
| 1659520880 | Raju K Pillai | Pathology | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2008-09-11 |
| 1326230228 | Michelle Afkhami | Pathology | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2007-08-14 |
| 1003863069 | Young Kim | Pathology | 1500 E Duarte Rd, Duarte, CA 91010 | 2006-05-27 |
| 1710943543 | Karl Gaal | Pathology | 1500 E Duarte Rd, Duarte, CA 91010 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982059168 | Michael Greas | Pathology | 1100 N. State Street, Clinic Tower - A7e (department of Pathology), Los Angeles, CA 90033 | 2016-04-26 |
| 1932528304 | Chunlai Zuo | Pathology | 10833 Le Conte Ave # Chs255-c, Los Angeles, CA 90095-9521 | 2014-04-14 |
| 1386062347 | Matthew Koo | Pathology | Stanford University Medical Center Dept of Pathology, 300 Pasteur Drive Room H-2110, Stanford, CA 94305 | 2014-04-06 |
| 1639519770 | Adam Cloe | Pathology | 6033 Hillandale Dr, Los Angeles, CA 90042 | 2013-07-03 |
| 1477990125 | John Paul Graff | Pathology | 4400 V St Ste 1107, Department of Pathology, Sacramento, CA 95817-1445 | 2013-06-03 |
| 1770861957 | Sue Beruti | Pathology | 6635 Halite Pl, Carlsbad, CA 92009-1738 | 2011-07-22 |
| 1528353786 | Joshua R Menke | Pathology | 300 Pasteur Dr Bldg L235, Stanford, CA 94305-2295 | 2011-06-16 |
| 1033410626 | Thomas C Laipply | Pathology | 2340 Zodiac St, Carlsbad, CA 92009-5340 | 2010-11-12 |
| 1093959371 | Stephen Lewis Cook | Pathology | 300 Pasteur Dr # H2110, Stanford, CA 94305 | 2009-04-30 |
| 1891939450 | Sonic Labzone Inc | Pathology | 18543 Devonshire St, Suite 449, Northridge, CA 91324-1308 | 2009-04-27 |
| Find all providers with the same taxonomy | ||||
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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.