LESLIE WONG (NPI# 1922325695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922325695 |
| Entity Type | Individual |
| Full Name | LESLIE WONG |
| Credential | MD |
| Practice Address |
3600 Broadway Fl 3 Oakland CA 94611-5730 |
| Mailing Address |
275 W Macarthur Blvd Oakland CA 94611-5641 |
| Practice Telephone | 5107526405 |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2017-06-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 036-137084 | IL | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
148563 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760514178 | Leslie A Wong | Dentist | 748 N Broadway, Los Angeles, CA 90012 | 2007-03-12 |
| 1982730313 | Leslie Ns Wong | Dentist | 804 W Lodi Ave, Lodi, CA 95240-3302 | 2007-02-27 |
| 1588966097 | Leslie Wong | Occupational Therapist | 5121 Cottonwood St, Murray, UT 84107-5701 | 2010-12-03 |
| 1154464790 | Leslie Mark Wong | Dentist | 827 Blossom Hill Rd, Suite W-3, San Jose, CA 95123-2701 | 2007-02-14 |
| 1013066919 | Leslie K L Wong | Dentist | 1150 S King Street, Suite 309, Honolulu, HI 96814 | 2007-01-09 |
| 1801976691 | Leslie M Wong | Pharmacist | 4867 W Sunset Blvd, Los Angeles, CA 90027-5969 | 2006-10-16 |
| 1487641957 | Leslie P Wong | Internal Medicine | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2005-09-30 |
| 1649262734 | Leslie B Wong | Surgery | 1111 Leffingwell Ave Ne, Suite 200, Grand Rapids, MI 49525-6406 | 2005-08-16 |
| Street Address |
3600 BROADWAY FL 3 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94611-5730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164952578 | Amy P Barry | Physician Assistant | 3600 Broadway Fl 3, Oakland, CA 94611-5730 | 2017-06-18 |
| 1013218544 | Christopher Dinh Nguyen | Internal Medicine | 3600 Broadway Fl 3, Oakland, CA 94611-5730 | 2010-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
| 1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
| 1700389699 | Katie Herron | Student in an Organized Health Care Education/Training Program | 2535 Harrison St., Oakland, CA 94611 | 2018-03-16 |
| 1861923351 | Hoiwan Cheung | Student in an Organized Health Care Education/Training Program | 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 | 2017-03-25 |
| 1104377126 | Collin Chan | Pharmacist | 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 | 2016-10-14 |
| 1912457276 | Madeline Marie Perket | Registered Nurse | 933 Kingston Ave, Piedmont, CA 94611 | 2016-10-11 |
| 1962959460 | Healing Arts Chiropractic | Chiropractor | 187 40th Street Way, Oakland, CA 94611 | 2016-09-01 |
| 1033573829 | Diana Murphy | Counselor | 629 Oakland, Oakland, CA 94611 | 2016-04-08 |
| 1437515483 | Laura Northrup II | Marriage & Family Therapist | 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 | 2016-01-06 |
| 1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
| Find all providers in zip 94611 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972614238 | John David Bry | Surgery | 350 30th St Ste 210, Oakland, CA 94609-3425 | 2006-08-31 |
| 1942243308 | Noel L Concepcion | Surgery | 6466 Bayview Dr, Oakland, CA 94605-3134 | 2006-06-14 |
| 1881819258 | Jimmy J.w. Pak | Surgery | 275 W Macarthur, Oakland, CA 94611-5641 | 2007-04-13 |
| 1770694101 | Stephen Norfleet Etheredge | Surgery | 365 Hawthorne Ave, Ste 103, Oakland, CA 94609-3107 | 2006-08-31 |
| 1861503351 | East Bay Vascular Medical Group | Surgery | 365 Hawthorne Ave, Suite 103, Oakland, CA 94609-3107 | 2006-08-31 |
| 1407967870 | Ronald Lee Webb | Surgery | 365 Hawthorne Ave, Ste 103, Oakland, CA 94609-3107 | 2006-08-31 |
| 1790705705 | Arnold W. Levine | Surgery | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-07-20 |
| 1922092469 | Edward B. Woodward | Surgery | 275 W Macarthur, Oakland, CA 94611-5641 | 2005-09-09 |
| 1235138959 | Enrico C Gonzalez | Surgery | 43 Yawpo Ave, Suite#1, Oakland, NJ 07436-2714 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881213817 | Robert Morton Carroll X | Surgery | 2241 Century Hl, Los Angeles, CA 90067-3506 | 2020-04-09 |
| 1992341895 | Surgicalist of Ca PC | Surgery | 3300 E South St Ste 301a, Lakewood, CA 90805-4549 | 2019-11-26 |
| 1528600558 | Kevin M Casey Md Apmc | Surgery | 1919 State St # 204-206, Santa Barbara, CA 93101-2430 | 2019-10-10 |
| 1487117594 | John Nastasi | Surgery | 100 W Valencia Mesa Dr # 211, Fullerton, CA 92835-3768 | 2019-04-08 |
| 1225508385 | Jay Labourene | Surgery | 1550 G Tiburon Blvd, Tiburon, CA 94920-2531 | 2018-12-03 |
| 1467922120 | Paul Bressman Md Inc | Surgery | 1493 S Crest Dr, Los Angeles, CA 90035-3339 | 2018-11-26 |
| 1437638517 | Thousand Oaks Vein Clinic PC | Surgery | 225 N Moorpark Rd Ste C, Thousand Oaks, CA 91360-4320 | 2018-08-09 |
| 1881186377 | Lavs Access Center Inc. | Surgery | 620 W Beverly Blvd Ste B, Montebello, CA 90640-3624 | 2018-05-31 |
| 1841789328 | Sunil Rayan, M.d., Inc. | Surgery | 320 Santa Fe Dr Ste 212, Encinitas, CA 92024-5139 | 2018-05-09 |
| 1245739820 | Northridge Vascular Center A Professional Medical Corporation | Surgery | 19331 Business Center Dr Ste 102, Northridge, CA 91324-3533 | 2018-02-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LESLIE WONG.
| 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.