MARY TONG (NPI# 1649352154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649352154 |
| Entity Type | Individual |
| Full Name | MARY TONG |
| Credential | PHARM.D. |
| Practice Address |
1761 Broadway St Suite 209 Vallejo CA 94589-2226 |
| Practice Telephone | 7076452523 |
| Practice Fax Number | 7076452530 |
| Mailing Telephone | 7076452523 |
| Mailing Fax Number | 7076452530 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 47735 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871831677 | Mary G Tong | Occupational Therapy Assistant | 1121 Ala Napunani St, Apt 304, Honolulu, HI 96818-1620 | 2013-01-29 |
| Street Address |
1761 BROADWAY ST SUITE 209 |
| City | VALLEJO |
| State | CA |
| Zip Code | 94589-2226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316901689 | Esker-d Ligon | Nurse Practitioner | 1761 Broadway St, Suite 100, Vallejo, CA 94589-2226 | 2006-04-13 |
| 1013452119 | Jamie Lutat | Occupational Therapist | 1761 Broadway St, Vallejo, CA 94589-2226 | 2016-12-27 |
| 1962864785 | The Permanente Medical Group | Health Maintenance Organization | 1761 Broadway St, Suite 100, Vallejo, CA 94589-2226 | 2016-03-22 |
| 1063824019 | Shasta Marie Ihorn | Psychologist | 1761 Broadway St, Ste 100, Vallejo, CA 94589-2226 | 2014-05-27 |
| 1851734495 | Jonah Raphael Paquette | Psychologist | 1761 Broadway St, Suite 100, Vallejo, CA 94589-2226 | 2013-04-13 |
| 1659616043 | Lisa Michelle Termansen | Audiologist | 1761 Broadway St, Suite 200, Vallejo, CA 94589-2226 | 2012-12-11 |
| 1609134824 | Carol Lynn Ferro | Psychiatry & Neurology | 1761 Broadway St, Ste 100, Vallejo, CA 94589-2226 | 2012-04-25 |
| 1902175763 | Tina Loan Kim Hua | Pharmacist | 1761 Broadway St, Vallejo, CA 94589-2226 | 2011-12-23 |
| 1164790432 | Kristin Lee Koperski | Psychologist | 1761 Broadway St, Suite 100, Vallejo, CA 94589-2226 | 2011-12-01 |
| 1174843429 | Tracie Lee Kepler Hoffman | Marriage & Family Therapist | 1761 Broadway St, Suite 100, Vallejo, CA 94589-2226 | 2010-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366903478 | Nabreea Dianna Moore | Behavioral Analyst | 1300 Donner Pass Rd, Vallejo, CA 94589 | 2019-03-29 |
| 1588131221 | Alejandra Hernandez De Leon | Behavioral Analyst | 151 Mimosa Ct, Vallejo, CA 94589 | 2018-10-31 |
| 1821588948 | Angela Ancheta Laco | Behavioral Analyst | 71 Los Cerritos Dr, Vallejo, CA 94589 | 2018-05-14 |
| 1851750764 | Shauntell Hudson | Counselor | 112 Basalt Dr, Vallejo, CA 94589 | 2016-02-19 |
| 1982997680 | Shuttle California Transit, LLC | Private Vehicle | 322 Lemon St, Vallejo, CA 94589 | 2011-05-27 |
| 1588813455 | Shay Teresa Loftus | Psychologist | 1761 Broadway, Suite 100, Vallejo, CA 94589 | 2008-09-16 |
| 1063629236 | Michael Francis Edziak | Dentist | 150 Hospital Dr., Vallejo, CA 94589 | 2007-05-17 |
| 1346454220 | Diljit Bahuleyan Karayil | Internal Medicine | 975 Sereno Drive, Medical Office- 8, Kaiser Permanente Medical Center, Vallejo, CA 94589 | 2007-05-09 |
| 1174745525 | Thomas Welch Gross | Emergency Medicine | Emergency Dept., Kaiser Permanente Medical Center, 675 Sereno Dr, Vallejo, CA 94589 | 2007-05-03 |
| 1639207756 | James D Prigmore | Dentist | 1620 Valle Vista Ave, Ste 100, Vallejo, CA 94589 | 2007-03-01 |
| Find all providers in zip 94589 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992277339 | Wandee Brennan | Pharmacist | 2647 Springs Rd # 557-5974, Vallejo, CA 94591-5712 | 2018-12-25 |
| 1558861419 | Thanh T Le | Pharmacist | 2021 Solano Ave, Vallejo, CA 94590-6456 | 2018-02-17 |
| 1588175509 | Manish Kumar Saini | Pharmacist | 164 Robles Way, Vallejo, CA 94591-8039 | 2017-10-17 |
| 1033589700 | Alexandro Cullum | Pharmacist | 731 Oscar St, Vallejo, CA 94592-1180 | 2015-10-06 |
| 1679982730 | Hanan Hussein | Pharmacist | 112 Nantucket Ln, Vallejo, CA 94590-5889 | 2014-08-03 |
| 1598197519 | Howard Shih-hao Sun | Pharmacist | 280 Pamela Ct, Vallejo, CA 94589-1853 | 2013-08-01 |
| 1821439118 | John Andrew Sayuk | Pharmacist | 729 Tobin Dr, Vallejo, CA 94589-1978 | 2013-07-15 |
| 1326391285 | Tara Shahrzad Sabeti | Pharmacist | 520 Klein Ave, Vallejo, CA 94592-1137 | 2012-10-16 |
| 1619198785 | Ramy Hatem Ebeid | Pharmacist | 2055 Solano Ave, Vallejo, CA 94590-6456 | 2007-05-02 |
| 1902966286 | Minh T Cao | Pharmacist | 1101 N Camino Alto Apt 6, Vallejo, CA 94589-3431 | 2006-12-09 |
| Find all providers in VALLEJO | ||||
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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.