DR. PATRICK WONG JR. (NPI# 1740445279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740445279 |
| Entity Type | Individual |
| Full Name | DR. PATRICK WONG JR. |
| Credential | D.O |
| Practice Address |
1441 Florida Ave Modesto CA 95350-4404 |
| Mailing Address |
1441 Florida Ave Modesto CA 11030-3816 |
| Practice Telephone | 2095763525 |
| Mailing Telephone | 2095763525 |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2019-03-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 20A15637 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
20A15637 | CA | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
20A15637 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Community Dr, Manhasset, NY 110303816 | 5165624286 | |
| 825 Delbon Ave, Turlock, CA 953822016 | 2096674200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508250705 | Patrick Wong | Family Medicine | 10 Parsonage Rd Ste 410, Edison, NJ 08837 | 2015-03-25 |
| 1679810238 | Patrick Wong | Acupuncturist | 30 Belmont Ave, Edison, NJ 08817-3528 | 2013-01-15 |
| 1518046945 | Patrick Ls Wong | Physical Therapist | 6804 Porto Fino Cir, Ste 2, Fort Myers, FL 33912-7139 | 2006-11-05 |
| 1477042513 | Patrick Wong | Dentist | 49 Forest Rd, Monroe, NY 10950-2923 | 2018-05-03 |
| 1154844264 | Patrick Elliott Wong | Dentist | 1610 5th St, Lubbock, TX 79401-2622 | 2017-07-20 |
| 1568616563 | Patrick Wong | Physical Medicine & Rehabilitation | 12 Upper Ragsdale Dr, Monterey, CA 93940-5730 | 2008-11-05 |
| 1831368109 | Patrick J Wong | Physician Assistant | 744 52nd St, Suite 5203, Oakland, CA 94609 | 2008-02-21 |
| 1295814929 | Patrick Wong | Psychiatry & Neurology | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2006-11-03 |
| 1346279932 | Patrick Y Wong | Specialist | 3838 California St, Suite #514, San Francisco, CA 94118-1522 | 2006-07-03 |
| 1326020942 | Patrick Thomas Wong | Pharmacist | 521 Parnassus Ave, Box 0622, San Francisco, CA 94143-0622 | 2005-11-18 |
| Street Address |
1441 FLORIDA AVE |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-4404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326044876 | Suhail Rahhal | Internal Medicine | 1441 Florida Ave, Modesto, CA 95350-4404 | 2005-06-21 |
| 1629603667 | Avinesh Prakash | Nurse Practitioner | 1441 Florida Ave, Modesto, CA 95350-4404 | 2020-03-10 |
| 1437784469 | Jose L Bazan | Nurse Practitioner | 1441 Florida Ave, Modesto, CA 95350-4404 | 2020-03-10 |
| 1770117541 | Sydney Edwards | Physician Assistant | 1441 Florida Ave, Modesto, CA 95350-4418 | 2020-03-02 |
| 1003466756 | Jessica Izelle Whipkey | Pharmacy Technician | 1441 Florida Ave, Modesto, CA 95350-4418 | 2019-09-16 |
| 1538715040 | Antoinette Marie Nguyen | Registered Nurse | 1441 Florida Ave, Modesto, CA 95350-4404 | 2019-08-12 |
| 1588229637 | Janel Mark | Perfusionist | 1441 Florida Ave, Modesto, CA 95350-4404 | 2019-05-03 |
| 1437713799 | Kunal Panwar | Student in an Organized Health Care Education/Training Program | 1441 Florida Ave, Modesto, CA 95350-4404 | 2019-04-23 |
| 1275196099 | Billy Huynh | Student in an Organized Health Care Education/Training Program | 1441 Florida Ave, Modesto, CA 95350-4418 | 2019-04-17 |
| 1063075067 | Herbert Mao | Student in an Organized Health Care Education/Training Program | 1441 Florida Ave, Modesto, CA 95350-4404 | 2019-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in zip 95350 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649660937 | Aashir Shah | Internal Medicine | 600 Coffee Rd, Modesto, CA 95355 | 2015-01-26 |
| 1568752889 | Prachi P Vishwasrao | Internal Medicine | 600 Coffee Rd, Modesto, CA 95355-4201 | 2011-04-08 |
| 1699089557 | Ylaine Rose Tupas Aldeguer | Internal Medicine | 600 Coffee Rd, Modesto, CA 95355-4201 | 2010-08-03 |
| 1467695718 | Walid Salihi | Internal Medicine | 600 Coffee Rd, Modesto, CA 95355-4201 | 2009-04-16 |
| 1750587101 | Rim Atoui | Internal Medicine | 600 Coffee Rd, Modesto, CA 95355-4201 | 2007-06-22 |
| 1366510356 | Pietro G Pecci | Internal Medicine | 1441 Florida Ave, Modesto, CA 95350-4405 | 2006-11-30 |
| 1679641666 | Thomas M Wallace | Internal Medicine | 1441 Florida Ave, Modesto, CA 95350-4405 | 2006-11-30 |
| 1487602819 | Manjit Singh Dhillon | Internal Medicine | 700 17th St, Modesto, CA 95354-1247 | 2006-05-05 |
| 1235190760 | Roger E Elias | Internal Medicine | 600 Coffee Rd, Modesto, CA 95355-4201 | 2006-04-02 |
| 1538134374 | Amr F Al-bacil | Internal Medicine | 600 Coffee Rd, Modesto, CA 95355 | 2006-02-22 |
| Find all providers in MODESTO | ||||
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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.