DR. GORDON WONG (NPI# 1336243732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336243732 |
| Entity Type | Individual |
| Full Name | DR. GORDON WONG |
| Credential | D.D.S. |
| Practice Address |
401 E 21st St Oakland CA 94606-1914 |
| Practice Telephone | 5104511974 |
| Practice Fax Number | 5104511974 |
| Mailing Telephone | 5104511974 |
| Mailing Fax Number | 5104511974 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
24417 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285271064 | Gordon W.s. Wong | Massage Therapist | 1236 Waimanu St Ste A, Honolulu, HI 96814-4305 | 2019-11-29 |
| 1306047964 | Gordon Wong | Dentist | 1818 Taraval St, San Francisco, CA 94116-2311 | 2007-05-30 |
| 1447338447 | Gordon G Wong | Optometrist | 7825 Fay Ave Ste 140, La Jolla, CA 92037-4247 | 2006-11-01 |
| 1063596211 | Gordon C Wong | Pharmacist | 155 Heritage Ave, Clovis, CA 93619-7612 | 2006-10-24 |
| 1417949942 | Gordon Miles Wong | Optometrist | 66 E Washington St, Petaluma, CA 94952-3165 | 2005-08-19 |
| 1710987433 | Gordon Wong | Pharmacist | 16630 Marquez Ave, Pacific Palisades, CA 90272-3233 | 2005-07-22 |
| 1437656980 | Gordon Xuefeng Wong | Student in an Organized Health Care Education/Training Program | 4150 V St # 1100, Sacramento, CA 95817-1460 | 2018-04-11 |
| 1225567472 | Gordon Wong | Student in an Organized Health Care Education/Training Program | 1441 N 12th St Fl 3, Phoenix, AZ 85006-2837 | 2017-06-09 |
| 1902138787 | Gordon K Wong | Social Worker | 1038 Post St, San Francisco, CA 94109-5603 | 2010-02-04 |
| 1639345184 | Gordon K Wong | Preventive Medicine | 409 W Main St, Alhambra, CA 91801-3433 | 2008-05-05 |
| Street Address |
401 E 21ST ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94606-1914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366923369 | Rhummanee Hang | Case Manager/Care Coordinator | 544 International Blvd., Suite #9, Oakland, CA 94606 | 2018-08-27 |
| 1841746153 | First Aid Transportation LLC | Non-emergency Medical Transport (VAN) | 1709 International Blvd Ste 107, Oakland, CA 94606 | 2016-08-27 |
| 1609236686 | Erik D Grasso | Behavioral Analyst | 1340 East 28th St., Suite C, Oakland, CA 94606 | 2016-03-03 |
| 1457770935 | Jessica Robin Gar Ling Leung | Family Medicine | 250 E. 18th Street, 2nd Floor, Oakland, CA 94606 | 2014-04-10 |
| 1902230709 | Masja Van Der Hoog | Acupuncturist | 1511 23rd Ave, Apt 10, Oakland, CA 94606 | 2013-08-28 |
| 1063756997 | Christine Michelle Huffner | Nurse Practitioner | 1030 International Blvd. San Antonio Neighborhood Healt, Oakland, CA 94606 | 2012-11-15 |
| 1336418920 | Alexandra Elisabeth Brewster | Counselor | 907 Lake Street San Pablo Avenue, San Pablo, CA 94606 | 2011-12-28 |
| 1780964064 | Meagen Elizabeth Grundberg | Community Health Worker | 544 International Blvd Ste 9, Oakland, CA 94606 | 2011-08-18 |
| 1285764217 | Nguyen Tran Dang, Dds, Inc. | Dentist | 270 East 12th St., Oakland, CA 94606 | 2007-03-07 |
| 1689704017 | Nguyen Tran Dang | Dentist | 270 East 12th Street, Oakland, CA 94606 | 2007-03-06 |
| Find all providers in zip 94606 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386253383 | Caroline Kim | Dentist | 1833 Brandon St, Oakland, CA 94611-4306 | 2020-07-24 |
| 1043879653 | Lawrence Wong | Dentist | 3300 Webster St Ste 907, Oakland, CA 94609-3156 | 2019-06-07 |
| 1013480169 | Cynthia L. Cox, D.d.s., Inc. | Dentist | 485 34th St Ste 210, Oakland, CA 94609-2823 | 2019-01-10 |
| 1275051575 | Christopher Thomas D.d.s. Inc. | Dentist | 1716 Telegraph Ave, Oakland, CA 94612-2108 | 2017-09-07 |
| 1396273694 | Homero A. Mak Dds, Inc | Dentist | 8105 Edgewater Dr Ste 122, Oakland, CA 94621-2019 | 2017-05-31 |
| 1174060800 | Philip P Chan | Dentist | 1624 Franklin St Ste 910, Oakland, CA 94612-2824 | 2017-01-19 |
| 1780135442 | Vincent Wong, Dds, A Professional Dental Corporation | Dentist | 3320 Webster St, Oakland, CA 94609-3105 | 2016-10-18 |
| 1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
| 1154798866 | Heather Hong Dinh | Dentist | 2007 E 17th St, Oakland, CA 94606-4603 | 2015-08-28 |
| 1396121828 | Oakland Eco Dental | Dentist | 2838 Summit St, Oakland, CA 94609-3605 | 2015-08-06 |
| Find all providers in OAKLAND | ||||
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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.