DR. JEFFREY WONG (NPI# 1699707893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699707893 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY WONG |
| Credential | MD |
| Practice Address |
1500 E Duarte Rd Duarte CA 91010 |
| Mailing Address |
Po Box 512185 Los Angeles CA 90051-0185 |
| Practice Telephone | 6263598111 |
| Mailing Telephone | 6267753514 |
| Mailing Fax Number | 6262185310 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2018-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
G47819 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G478190 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033455027 | Jeffrey Wong | Occupational Therapist | 3051 Watson Blvd Ste 525, Warner Robins, GA 31093-8556 | 2012-12-19 |
| 1164790507 | Jeffrey Wong | Orthopaedic Surgery | 18785 Brookhurst St Ste 100, Fountain Valley, CA 92708-7300 | 2011-12-13 |
| 1013184498 | Jeffrey Y Wong | Dentist | 200 Brown Rd Ste 202, Fremont, CA 94539-7957 | 2008-05-14 |
| 1508933763 | Jeffrey C.m. Wong | Obstetrics & Gynecology | 4643b Waimea Canyon Dr., Waimea, HI 96796 | 2006-11-30 |
| 1720087315 | Jeffrey Alan Wong | Pharmacist | 1333 Castro St, San Francisco, CA 94114-3620 | 2005-07-18 |
| 1922619139 | Jeffrey Hu Wong | Acupuncturist | 1530 S Union Ave Ste 4, Tacoma, WA 98405-1954 | 2020-08-11 |
| 1386136331 | Jeffrey Wong | Chiropractor | 1609 Meridian Ave, San Jose, CA 95125-5532 | 2018-06-05 |
| 1043691181 | Jeffrey Ling-yi Wong | Internal Medicine | 75 Francis St, Boston, MA 02115-6110 | 2015-06-15 |
| 1518271089 | Jeffrey Wong | Pharmacist | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2010-07-27 |
| 1578893368 | Jeffrey J Wong | Physician Assistant | 259 E Erie St, 13th Floor, Chicago, IL 60611-2987 | 2009-12-30 |
| Street Address |
1500 E DUARTE RD |
| City | DUARTE |
| State | CA |
| Zip Code | 91010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598731820 | John Hosei Yim | Surgery | 1500 E Duarte Rd, Duarte, CA 91010-3012 | 2006-02-27 |
| 1568989739 | Susan Shehayeb | Genetic Counselor, MS | 1500 E Duarte Rd, Duarte, CA 91010 | 2017-08-28 |
| 1992157325 | Bekir Suveyd | Internal Medicine | 1500 E Duarte Rd, Endocrinology, Gonda South Building, Suite 1011a, Duarte, CA 91010 | 2016-07-09 |
| 1548689649 | Jennifer Sarah Baecker | Nurse Practitioner | 1500 E Duarte Rd, Duarte, CA 91010 | 2014-04-16 |
| 1295176394 | Razmig Vatche Babikian | Registered Nurse | 1500 E Duarte Rd, Duarte, CA 91010-3012 | 2013-07-17 |
| 1902197254 | Mari Bozoghlanian | Radiology | 1500 E Duarte Rd, Helford Hospital, Rm 1300, Duarte, CA 91010 | 2011-04-20 |
| 1972828366 | Jamie Green Rand | Surgery | 1500 E Duarte Rd, Duarte, CA 91010-3012 | 2010-03-29 |
| 1053565143 | Lee Zuckerman | Orthopaedic Surgery | 1500 E Duarte Rd, Duarte, CA 91010-3012 | 2008-11-16 |
| 1033368642 | Finly Zachariah | Family Medicine | 1500 E Duarte Rd, Department of Supportive Care, Duarte, CA 91010-3012 | 2008-09-18 |
| 1891965836 | Lydia Helen Mormann | Nurse Practitioner | 1500 E Duarte Rd, Duarte, CA 91010 | 2008-03-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386266849 | Cheyenne King | Student in an Organized Health Care Education/Training Program | 1801 Huntington Drive, Duarte, Ca 91010, Duarte, CA 91010 | 2020-05-07 |
| 1114578028 | Cristian Gonzalez | Case Manager/Care Coordinator | 2250 E Foothill Ave, Pasadena, CA 91010 | 2019-09-23 |
| 1366932378 | Maisie Madrid | Marriage & Family Therapist | 1801 Huntington Drive, Duarte, CA 91010 | 2018-05-15 |
| 1598289571 | Bertha Maria Torres | Social Worker | 938 E. Huntington Drive, Unit A, Duarte, CA 91010 | 2017-08-01 |
| 1598292286 | Sheila Ramirez | Occupational Therapy Assistant | 2302 Citrus View Ave, Duarte, CA 91010 | 2017-05-12 |
| 1982059556 | Patricia Mendoza | Case Manager/Care Coordinator | 2502 E.huntington Dr., Duarte, CA 91010 | 2016-05-02 |
| 1770966178 | Sinziana Dumitra | Surgery | 1500 Durate Road California, Mob L001, Duarte, CA 91010 | 2015-07-02 |
| 1477940161 | Jin Sun L Bitar | Internal Medicine | 1500 Duarte Rd # Wing4, Duarte, CA 91010 | 2015-04-20 |
| 1659625622 | Jeanette Marie Petermann | Nurse Practitioner | 1036 East Huntington Drive, Duarte, CA 91010 | 2012-10-30 |
| 1649534397 | Nathaniel J Khoe Dds. Inc | Dentist | 1016 Huntington Drive, Duarte, CA 91010 | 2012-06-27 |
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| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750643136 | Scott M Glaser | Radiology | 1500 E. Duarte Road, Duarte, CA 91010-2207 | 2012-06-12 |
| 1487910774 | Arya Amini | Radiology | 1500 E. Duarte Road, Duarte, CA 91010 | 2012-04-11 |
| 1619141751 | Savita Visalakshi Dandapani | Radiology | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2008-04-18 |
| 1568542785 | Sagus Sampath | Radiology | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2006-10-16 |
| 1972698868 | Yi-jen Chen | Radiology | 1500 E Duarte Rd, Duarte, CA 91010 | 2006-10-04 |
| 1407941289 | Andrew Raubitschek | Radiology | 1500 E Duarte Rd, Duarte, CA 91010 | 2006-10-04 |
| 1457442063 | Richard Pezner | Radiology | 1500 E Duarte Rd, Duarte, CA 91010 | 2006-09-27 |
| 1346346897 | Eric Radany | Radiology | 1500 E Duarte Rd, Duarte, CA 91010 | 2006-09-15 |
| 1275639791 | Nayana Vora | Radiology | 1500 E Duarte Rd, Duarte, CA 91010 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154933034 | Andrew Lim | Radiology | 200 Medical Plaza Driveway Suite B265, Los Angeles, CA 90095-0001 | 2020-08-20 |
| 1083275200 | Centerpoint Radiation Oncology, Inc. | Radiology | 8929 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-1950 | 2019-06-27 |
| 1922450840 | Cynthia Bajada Chasan | Radiology | 7401 Vista Del Mar Ave, La Jolla, CA 92037-4954 | 2016-07-02 |
| 1871906396 | Sammy Mohamed Ashouri | Radiology | 300 Pasteur Dr Rm H1330, Stanford, CA 94305 | 2014-06-03 |
| 1235540469 | Julian C Hong | Radiology | 1825 4th St Rm M2260, San Francisco, CA 94143-2350 | 2014-05-09 |
| 1295155422 | Rishabh Chaudhari | Radiology | 880 E Tuolumne Rd Ste 101, Turlock, CA 95382-1549 | 2014-04-28 |
| 1407278211 | Vincent S. T. Cheng | Radiology | 6022 W Sweet Dr, Visalia, CA 93291-8924 | 2014-01-13 |
| 1487085221 | Peter Allison Austin | Radiology | 1655 Aspen Grove Ln, Diamond Bar, CA 91765-2953 | 2013-12-04 |
| 1760820666 | Sandra Birdwell | Radiology | 1865 Camino De Los Robles, Menlo Park, CA 94025-5912 | 2013-06-13 |
| 1063859874 | John Vidyadhar Hegde | Radiology | Ucla Medical Center Department of Radiation, 200 Ucla Medical Center, Suite B265, Los Angeles, CA 90095-0001 | 2013-06-03 |
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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.