DR. HENRY YICK TUNG WONG (NPI# 1376655431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376655431 |
| Entity Type | Individual |
| Full Name | DR. HENRY YICK TUNG WONG |
| Credential | M.D. |
| Practice Address |
1800 N California St Stockton CA 95204-6019 |
| Mailing Address |
10515 Escondido Pl Stockton CA 95212-9267 |
| Practice Telephone | 2094676335 |
| Practice Fax Number | 2094615150 |
| Mailing Telephone | 2099319537 |
| Mailing Fax Number | 2099318277 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
A26199 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265807853 | Henry Wong | Pharmacist | 104 Bay 25th St, Brooklyn, NY 11214 | 2015-12-08 |
| 1730223835 | Henry Wong | Chiropractor | 3689 Midway Drive, Suite G, San Diego, CA 92110 | 2007-02-20 |
| 1578533139 | Henry C Wong | Dentist | 17 Elizabeth St, Suite 405, New York, NY 10013-4803 | 2006-01-25 |
| 1598769994 | Henry C. Wong | Anesthesiology | 3799 Route 46, Suite 211, Parsippany, NJ 07054 | 2005-06-13 |
| 1699137711 | Henry Wong | Pharmacist | 3710 Main St, Bridgeport, CT 06606-3613 | 2016-03-28 |
| 1720304603 | Henry Wong | Emergency Medicine | 8260 Atlee Rd, Mechanicsville, VA 23116-1844 | 2010-04-16 |
| 1023229465 | Henry C Wong | Dentist | 4332 Slauson Ave, Maywood, CA 90270-2848 | 2007-05-25 |
| 1447383930 | Henry Wong | Pharmacist | 1959 Ne Pacific St, Box 356015, Seattle, WA 98195-0001 | 2007-03-13 |
| 1437237567 | Henry Keung Wong | Dermatology | 540 Officenter Pl, Ste 240, Columbus, OH 43230-5317 | 2006-11-02 |
| 1396700365 | Henry Thomas Wong | Anesthesiology | 190 N Union St, Ste 104, Akron, OH 44304-1369 | 2006-04-20 |
| Street Address |
1800 N CALIFORNIA ST |
| City | STOCKTON |
| State | CA |
| Zip Code | 95204-6019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619974219 | St. Joseph's Surgery Center Lp | Clinic/Center | 1800 N California St, Ste 1, Stockton, CA 95204-6019 | 2005-06-28 |
| 1679174940 | Simon Yeung | Pharmacist | 1800 N California St, Stockton, CA 95204-6019 | 2020-11-04 |
| 1275140584 | Rajwinder K Gill | Registered Nurse | 1800 N California St, Stockton, CA 95204-6019 | 2020-09-30 |
| 1447865787 | Rinky Saini Prasad | Registered Nurse | 1800 N California St, Stockton, CA 95204-6019 | 2020-09-14 |
| 1821609611 | Dustin Tien Le | Pharmacist | 1800 N California St, Stockton, CA 95204-6019 | 2020-08-14 |
| 1013534254 | Nancy Thi Nguyen | Speech-Language Pathologist | 1800 N California St, Stockton, CA 95204-6019 | 2020-07-04 |
| 1861015646 | Sana Mohyud Din Chaudhary | Student in an Organized Health Care Education/Training Program | 1800 N California St, Stockton, CA 95204-6019 | 2020-05-27 |
| 1942822184 | Kenneth Jerome Hainsworth | Student in an Organized Health Care Education/Training Program | 1800 N California St, Stockton, CA 95204-6019 | 2020-05-11 |
| 1083236368 | Chase Rogers | Student in an Organized Health Care Education/Training Program | 1800 N California St, Stockton, CA 95204-6019 | 2020-05-10 |
| 1093336919 | Joel Rabara | Respiratory Therapist, Registered | 1800 N California St, Stockton, CA 95204-6019 | 2020-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
| 1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
| 1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
| 1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
| 1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
| 1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
| 1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
| Find all providers in zip 95204 | ||||
| Taxonomy Code | 2085R0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Therapeutic Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346468840 | Edward C Greenleaf | Radiology | 2027 Grand Canal Blvd Ste 25, Stockton, CA 95207-6650 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831692243 | Joseph Vernon Hodgkins | Radiology | 5901 E 7th St Bldg 165, Long Beach, CA 90822-5201 | 2018-03-12 |
| 1225296676 | Dwight Raymond Stickney | Radiology | 5275 Ashby Ln, Granite Bay, CA 95746-9425 | 2008-06-01 |
| 1487811824 | Brian D. Berger, Md, Pa | Radiology | 1341 David St, #111, San Mateo, CA 94403-1916 | 2008-05-22 |
| 1174664890 | John Charles Clark | Radiology | 1325 Bambury Ct, Redding, CA 96001-1339 | 2007-02-08 |
| 1598837569 | Clayton Chen | Radiology | 60mdg/sgqx, 101 Bodin Circle, Travis Afb, CA 94535-1800 | 2006-11-15 |
| 1861587727 | Steve Byron Benak Jr. | Radiology | 7024 N. Park Ridge Court, Riverbank, CA 95367 | 2006-10-04 |
| 1609842392 | Harvey S Frey | Radiology | 552 12th St, Santa Monica, CA 90402-2908 | 2006-02-23 |
| 1356322705 | Florian H Ploch | Radiology | 1020 Nut Tree Rd, #190, Vacaville, CA 95687-4100 | 2005-11-10 |
| 1922091263 | Victor G Schweitzer | Radiology | 2985 Sycamore Dr, Simi Valley, CA 93065-1201 | 2005-08-23 |
| 1528460334 | Reinhard Wilhelm Schulte | Radiology | 9834 Genesee Ave, Suite 110, La Jolla, CA 92037-1223 | 2014-09-23 |
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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.