DOUGLAS EBIN WONG (NPI# 1477897684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477897684 |
| Entity Type | Individual |
| Full Name | DOUGLAS EBIN WONG |
| Practice Address |
41715 Winchester Rd Suite 101 Temecula CA 92590-4808 |
| Mailing Address |
41715 Winchester Rd Temecula CA 92590-4808 |
| Practice Telephone | 9513084451 |
| Practice Fax Number | 9515060992 |
| Mailing Telephone | 9513084451 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2013-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 22671 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700493772 | Douglas Wong | Massage Therapist | 2060 S La Merced Way, Palm Springs, CA 92264-9032 | 2020-09-24 |
| 1194134056 | Douglas K. C. Wong | Dentist | 7033 Village Pkwy, Suite 202, Dublin, CA 94568-2453 | 2014-08-05 |
| 1194130062 | Douglas Wong | Pharmacist | 700 E Kennedy Rd, North Wales, PA 19454-5612 | 2014-06-30 |
| 1699778399 | Douglas S Wong | Specialist | 7130 N Millbrook Ave, Fresno, CA 93720-3347 | 2005-05-27 |
| 1386024867 | Douglas Wong | Pharmacist | 9831 Campo Rd, Spring Valley, CA 91977-1418 | 2015-06-01 |
| 1104889591 | Douglas C Wong | Orthopaedic Surgery | 660 Golden Ridge Rd, Suite 250, Golden, CO 80401-9541 | 2006-04-08 |
| 1174590160 | Douglas L Wong | Anesthesiology | 3633 Pacific Ave, Suite 204, Tacoma, WA 98418-7900 | 2006-03-08 |
| Street Address |
41715 WINCHESTER RD SUITE 101 |
| City | TEMECULA |
| State | CA |
| Zip Code | 92590-4808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184672545 | Brian Robert Sharp | Physician Assistant | 41715 Winchester Rd, Temecula, CA 92590-4808 | 2006-05-05 |
| 1598395709 | Dustin Grossheim | Physician Assistant | 41715 Winchester Rd, Temecula, CA 92590-4808 | 2020-01-16 |
| 1609300250 | Nikole Churchill | Nurse Practitioner | 41715 Winchester Rd, 101, Temecula, CA 92590-4808 | 2017-04-19 |
| 1093267171 | Aliuddin Khaja, Md., Inc | Psychologist | 41715 Winchester Rd, Suite 104, Temecula, CA 92590-4808 | 2016-10-25 |
| 1326599192 | Mariah Brooke Horvath | Physician Assistant | 41715 Winchester Rd, Suite #101, Temecula, CA 92590-4808 | 2016-10-17 |
| 1922471192 | Krista Russo | Physician Assistant | 41715 Winchester Rd, 101, Temecula, CA 92590-4808 | 2015-11-09 |
| 1629447602 | Lindsey Adele Mcatee | Physician Assistant | 41715 Winchester Rd, Temecula, CA 92590-4808 | 2015-09-19 |
| 1558743906 | Michelle Marie Robert | Nurse Practitioner | 41715 Winchester Rd, Ste 101, Temecula, CA 92590-4808 | 2015-06-22 |
| 1962828863 | Amanda Alviz | Nurse Practitioner | 41715 Winchester Rd, Suite 101, Temecula, CA 92590 | 2014-03-15 |
| 1205100740 | Family Planning Associates Medical Group,inc. | Clinic/Center | 41715 Winchester Rd, Suite 204, Temecula, CA 92590-4808 | 2012-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497221881 | Thangputtevy Melanie Chhea | Behavior Technician | 41769 Enterprise Circle N. Suite 104 & 105, Temecula, CA 92590 | 2018-10-23 |
| 1447734793 | Valleyone Medical LLC | Durable Medical Equipment & Medical Supplies | 27630 Commerce Center Dr, Ste. F, Temecula, CA 92590 | 2018-09-22 |
| 1730672288 | Brittany Heflin | Assistant Behavior Analyst | 41769 Enterprise Cir N Ste 104-105, Temecula, CA 92590 | 2018-06-10 |
| 1679980239 | Brittney Ann Dewall | Psychologist | 28999 Old Town Front Street, Suite 203, Temecula, CA 92590 | 2014-07-16 |
| 1790102853 | Irma Cabral | Counselor | 42072 5th St Ste 201b, Temecula, CA 92590 | 2014-03-26 |
| 1326461799 | Dr Helen H Im Dds | Durable Medical Equipment & Medical Supplies | 28780 Single Oak Dr #150, Temecula, CA 92590 | 2014-01-21 |
| 1205260130 | Canyon Lake Hospice, Inc. | Hospice Care, Community Based | 41661 Enterprise Cir N Ste 217, Temecula, CA 92590 | 2013-08-28 |
| 1265749105 | Audrey Munoz | Rehabilitation Practitioner | 27268 Via Industria, Temecula, CA 92590 | 2010-09-13 |
| 1902134729 | Oprimum Dynamic Achievement | Community/Behavioral Health | 28364 Vincent Moraga, Suite C, Temecula, CA 92590 | 2009-12-07 |
| 1578792057 | Monica Padilla Helvie | Marriage & Family Therapist | 28581 Old Town Front St # 103, Temecula, CA 92590 | 2009-07-06 |
| Find all providers in zip 92590 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134572662 | Natalie Anastasia Nealeigh | Physician Assistant | 40469 Calle Katerine, Temecula, CA 92591-6981 | 2016-07-20 |
| 1760837314 | Francis Ezpeleta Galura | Physician Assistant | 30197 Corte Plata, Temecula, CA 92591-1900 | 2016-05-02 |
| 1053778274 | Dermatology Specialists, Inc | Physician Assistant | 31469 Rancho Pueblo Rd # 101, Temecula, CA 92592-4834 | 2016-01-19 |
| 1902298565 | Shannon Miller | Physician Assistant | 40674 Calle Cancion, Temecula, CA 92592-9472 | 2015-02-19 |
| 1245669340 | James Brinkman | Physician Assistant | 32032 Cala Gerona, Temecula, CA 92592-3657 | 2013-11-08 |
| 1932494499 | Jacqueline Rose Weir | Physician Assistant | 41715 Winchester Rd Ste 101, Temecula, CA 92590-4853 | 2011-06-13 |
| 1326340225 | John Denton Olson | Physician Assistant | 31675 Calle Barcaldo, Temecula, CA 92592-3611 | 2010-11-28 |
| 1487834644 | Ryan Daniel Rowan | Physician Assistant | 44054 Margarita Rd, Suite 1, Temecula, CA 92592-2773 | 2007-11-05 |
| 1114117470 | Clyde James Burgess Jr. | Physician Assistant | 31616 Loma Linda Rd, Temecula, CA 92592-1639 | 2007-08-01 |
| 1215130562 | Keith David Rouleau | Physician Assistant | 29605 Solana Way, #n6, Temecula, CA 92591-3758 | 2007-06-06 |
| Find all providers in TEMECULA | ||||
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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.