DR. DEREK WONG (NPI# 1427367135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427367135 |
| Entity Type | Individual |
| Full Name | DR. DEREK WONG |
| Credential | D.D.S |
| Practice Address |
2480 Howard Ave San Carlos CA 94070-4415 |
| Practice Telephone | 6507437714 |
| Mailing Telephone | 6507437714 |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-09-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
59808 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285286211 | Derek Wei-yun Wong | Behavior Technician | 1520 Pershing Dr Apt F, San Francisco, CA 94129-1096 | 2019-07-10 |
| 1245464999 | Derek Wong | Dentist | 826 N Monterey St Apt A, Alhambra, CA 91801-6425 | 2009-05-11 |
| 1134199946 | Derek Alan Wong | Medical Genetics | 10833 Leconte Ave, Mdcc 12-334, Los Angeles, CA 90095-1732 | 2006-01-24 |
| 1356961338 | Derek Wong | Occupational Therapist | 35 Escuela Dr, Daly City, CA 94015-4003 | 2020-04-20 |
| 1811475858 | Derek Wong | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-08-01 |
| 1114374782 | Derek Wong | Internal Medicine | 425 W 5th St, East Liverpool, OH 43920-2405 | 2016-05-24 |
| 1912280058 | Derek L Wong | Pharmacist | 8302 Old Sauk Rd, Middleton, WI 53562-4404 | 2011-09-26 |
| 1710218599 | Derek J Wong | Obstetrics & Gynecology | 1 Scripps Dr Ste 107, Sacramento, CA 95825-6206 | 2010-01-19 |
| Street Address |
2480 HOWARD AVE |
| City | SAN CARLOS |
| State | CA |
| Zip Code | 94070-4415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669943189 | Regina Rayz | Community Health Worker | Edgewood Center, 957 Industrial Rd B, San Carlos, CA 94070 | 2018-12-10 |
| 1275026668 | Zhimiao Wang | Acupuncturist | 1608 Laurel St, San Carlos, CA 94070 | 2018-06-11 |
| 1922508324 | Erica Garica Romero | Counselor | 610 Elm Street, Suite 212, San Carlos, CA 94070 | 2018-02-13 |
| 1619482429 | Yicheng Han | Counselor | 527 Hillcrest Rd., San Carlos, CA 94070 | 2017-12-04 |
| 1679082192 | Enrique Francisco Delgado | Counselor | 610 Elm St. #212, San Carlos, CA 94070 | 2017-09-27 |
| 1871011379 | Melanie Schug | Counselor | 610 Elm Street, Suite 212, San Carlos, CA 94070 | 2017-09-05 |
| 1891213393 | Teresa Wace | Counselor | 1303 San Carlos Avenue, San Carlos, CA 94070 | 2017-09-05 |
| 1437671344 | Ana Garcia | Counselor | 957 Industrial Road, Suite B, San Carlos, CA 94070 | 2017-07-12 |
| 1629527825 | Annette Waters | Speech-Language Pathologist | 1017 Cedar St, San Carlos, CA 94070 | 2016-09-28 |
| 1962831297 | Kathleen Lauren Mcspadden | Marriage & Family Therapist | 1303 San Carlos Ave., San Carlos, CA 94070 | 2013-11-07 |
| Find all providers in zip 94070 | ||||
| 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 |
|---|---|---|---|---|
| 1831518612 | Laura Claire Miller | Dentist | 10 El Camino, San Carlos, CA 94070-2451 | 2014-04-09 |
| 1316290547 | Neesha Jivan | Dentist | 1516 Saint Francis Way, San Carlos, CA 94070-4856 | 2012-10-25 |
| 1750552980 | Stanlake K Ye | Dentist | 1125 Laurel St, San Carlos, CA 94070-5008 | 2008-03-15 |
| 1003025107 | Roger Alan Dahlseid | Dentist | 228 Cibeque Circle, Cibeque Circle, San Carlos, AZ 85550-0208 | 2007-05-22 |
| 1992928535 | Marcos & Marcos Dds | Dentist | 1375 San Carlos Ave # A, San Carlos, CA 94070-2317 | 2007-04-11 |
| 1932246089 | Gregory R. Loomis | Dentist | 1650 Laurel St Ste A, San Carlos, CA 94070-5217 | 2007-01-30 |
| 1245386150 | Donald Joseph Curia | Dentist | 731 Walnut St, San Carlos, CA 94070-3115 | 2007-01-25 |
| 1689753808 | Frank Hsu Dds., Inc. | Dentist | 1201 Saint Francis Way, San Carlos, CA 94070-5219 | 2006-11-06 |
| 1568540185 | Frank Hsu | Dentist | 1201 St. Francis Way, San Carlos, CA 94070 | 2006-11-01 |
| 1083795736 | Terence G Clancy | Dentist | 990 Laurel St, D, San Carlos, CA 94070-3900 | 2006-10-18 |
| Find all providers in SAN CARLOS | ||||
| City | SAN CARLOS |
| Zip Code | 94070 |
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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.