ADAM WONG


Address: 1414 N California St, Stockton, CA 95202-1515
Phone: 2094688686

ADAM WONG (NPI# 1346859469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346859469
Entity Type Individual
Full Name ADAM WONG
Practice Address 1414 N California St
Stockton
CA 95202-1515
Practice Telephone 2094688686
Mailing Telephone 2094688686
Enumeration Date 2020-07-24
Last Update Date 2020-07-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 167G00000X Licensed Psychiatric Technician 41676 CA Nursing Service Providers

Other Providers ADAM WONG

NPI Name Taxonomy Address Enumeration
1003275215 Adam Han Wong Chiropractor 1901 Monterey Rd #10, San Jose, CA 95112 2016-02-16
1194292821 Adam Toland Wong Pharmacist 14445 Olive View Dr, Sylmar, CA 91342-1437 2018-10-31
1770813289 Adam Jens Wong Audiologist 560 W Mitchell St Ste 250, Petoskey, MI 49770-2277 2010-01-05
1457419046 Adam Ken Yip Wong Anesthesiology 9920 Talbert Ave, Fountain Valley, CA 92708-5153 2006-12-05

Office Location

Street Address 1414 N CALIFORNIA ST
City STOCKTON
State CA
Zip Code 95202-1515

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376574616 Susan M Abraham Pediatrics 1414 N California St, Stockton, CA 95202-1515 2006-07-05
1760018485 Ashley Nichole Mcmillion Case Manager/Care Coordinator 1414 N California St, Stockton, CA 95202-1515 2020-03-13
1619515640 Maria Samson Counselor 1414 N California St, Stockton, CA 95202-1515 2019-12-20
1043857014 Adrienne Pleasants Counselor 1414 N California St, Stockton, CA 95202-1515 2019-12-09
1801445531 Mary Alice Richardson Case Manager/Care Coordinator 1414 N California St, Stockton, CA 95202-1515 2019-09-05
1013566744 Joseph Michael Jackson Pointon Case Manager/Care Coordinator 1414 N California St, Stockton, CA 95202-1515 2019-09-05
1093370397 Allison Ilene Borsuk-georgandas Social Worker 1414 N California St, Stockton, CA 95202 2019-05-02
1801459920 Angelique Cooper Counselor 1414 N California St, Stockton, CA 95202-1515 2019-04-15
1568938124 Malina Celine Diaz Counselor 1414 N California St, Stockton, CA 95202-1515 2018-10-22
1043797871 J William Watkins Counselor 1414 N California St, Stockton, CA 95202-1515 2018-07-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336774678 Lecletus Griffin Jr. Counselor 1212 N. Califronia Street, Stockton, CA 95202 2020-03-06
1861035586 Andrea Mn Perkins Social Worker Sjc Bhs Bacop, 1149 El Dorado Street, Stockton, CA 95202 2019-10-25
1932664620 San Joaquin County Behavioral Health Services Community/Behavioral Health 1212 N. Califorian St, Stockton, CA 95202 2019-02-06
1730655895 Jenaiah La'neise Sauceda Social Worker 343 E Main St Ste 918, Stockton, CA 95202 2018-10-16
1235631722 Parker Yang Counselor 1111 N. El Dorado St, Stockton, CA 95202 2018-03-01
1912406976 Janet Mendoza Social Worker 6 South Eldorado Street, Stockton, CA 95202 2018-02-06
1487162087 Linda Soun Counselor 1111 N. El Dorado Street, Stockton, CA 95202 2018-01-17
1124545355 Suleyma Velesquez Counselor 445 N. San Joaquin St., Stockton, CA 95202 2017-08-28
1821513946 Savoeun Phal Counselor 1212 N California St Ste A214, Stockton, CA 95202 2017-08-09
1861921272 Mandeep K Minhas Registered Nurse 1212 California St, Stockton, CA 95202 2017-06-08
Find all providers in zip 95202

Taxonomy Information

Taxonomy Code 167G00000X
Grouping Nursing Service Providers
Classification Licensed Psychiatric Technician

Taxonomy Definition

An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114530250 Heather Elizabeth Phillips Licensed Psychiatric Technician 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 2020-08-28
1093337511 Christine Ann Scheuermann Licensed Psychiatric Technician 1447 Report Ave, Stockton, CA 95205-3030 2020-05-07
1609336882 Monica Fuentes-rodriguez Licensed Psychiatric Technician 7000 N Michael Canlis Blv, Stockton, CA 95206 2019-03-22
1497167530 Elizabeth Anne Degravio Licensed Psychiatric Technician 10904 Lands End Dr, Stockton, CA 95209-4289 2014-05-23
1801215082 Ashlee Nicole Torres Licensed Psychiatric Technician 231 E Bianchi Rd, Stockton, CA 95207-7430 2014-04-15
1366884058 Jill Siador Licensed Psychiatric Technician 3731 Carly Dr, Stockton, CA 95205-2589 2013-07-23
1477809929 Milagros Moreno Mcarthur Licensed Psychiatric Technician 10834 Copperopolis Rd, Stockton, CA 95215-1741 2012-08-01
1033485495 Thuy Huynh Licensed Psychiatric Technician 4545 Georgetown Place Suite A3, Stockton, CA 95207 2012-03-29
1124232665 Lyndsey Marie Socha Licensed Psychiatric Technician 1947 N California St Ste C, Stockton, CA 95204-6029 2007-05-10
1851515092 Barbara Franklin Licensed Psychiatric Technician 4514 Mcgaw St Apt 2, Stockton, CA 95207-8119 2007-04-12
Find all providers in STOCKTON

Competitor

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City STOCKTON
Zip Code 95202

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Dataset Information

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.

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