DR. GARRETT B. WONG (NPI# 1336112085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336112085 |
| Entity Type | Individual |
| Full Name | DR. GARRETT B. WONG |
| Credential | M.D. |
| Practice Address |
4860 Y St # 2820 Sacramento CA 95817-2307 |
| Practice Telephone | 9167343764 |
| Practice Fax Number | 9167348394 |
| Mailing Telephone | 9167343764 |
| Mailing Fax Number | 9167348394 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2008-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A71922 | CO | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
A71922 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A719220 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457813867 | Garrett Wong | Student in an Organized Health Care Education/Training Program | 1313 E Herndon Ave, Fresno, CA 93720-3306 | 2019-04-03 |
| Street Address |
4860 Y ST # 2820 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-2307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144290636 | John Laird | Internal Medicine | 4860 Y St # 2820, Sacramento, CA 95817-2307 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326540279 | David Crawford Smith | Internal Medicine | 3260 Adams Rd, Sacramento, CA 95864-5059 | 2018-03-07 |
| 1356704407 | Christopher Chen | Internal Medicine | 4610 X St Ste 4202, Sacramento, CA 95817 | 2016-04-05 |
| 1538555065 | Pankaj Malhotra | Internal Medicine | 4860 Y Street, Acc Building, Suite 2820, Cardiology Academic Office, Sacramento, CA 95817 | 2015-04-10 |
| 1295176170 | Richard James Frink | Internal Medicine | 1003 39th St, Sacramento, CA 95816-5502 | 2013-07-09 |
| 1720266059 | Rajbarinder Hundal | Internal Medicine | 8120 Timberlake Way Ste 210b, Sacramento, CA 95823 | 2008-02-08 |
| 1538362017 | Nayereh G Pezeshkian | Internal Medicine | 4860 Y St # 2800, Sacramento, CA 95817-2307 | 2007-06-11 |
| 1194840694 | Munir S. Janmohamed | Internal Medicine | 3939 J St Ste 230, Sacramento, CA 95819 | 2007-03-21 |
| 1467524520 | Rohit Bhaskar | Internal Medicine | 3941 J St Ste 260, Sacramento, CA 95819-3633 | 2006-11-14 |
| 1801900998 | Patricia Jean Applegate | Internal Medicine | 4860 Y St Ste 200, Sacramento, CA 95817-2307 | 2006-08-18 |
| 1740212125 | Willy Yung-wei Chi | Internal Medicine | 4860 Y St Ste 3400, Sacramento, CA 95817-2307 | 2006-07-07 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
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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.