WESLEY G KONG (NPI# 1962602151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962602151 |
| Entity Type | Individual |
| Full Name | WESLEY G KONG |
| Credential | MD |
| Practice Address |
2490 Hospital Dr Ste 210 Mountain View CA 94040-4117 |
| Practice Telephone | 6509624662 |
| Practice Fax Number | 6509624652 |
| Mailing Telephone | 6509624662 |
| Mailing Fax Number | 6509624652 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2020-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | A81674 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | CC146Z | 01 |
| CA | TAX IDENTIFICATION NUMBER | 263505821 | 01 |
| CA | RR MEDICARE PTAN | P00804581 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760764724 | Wesley Kong | Pharmacist | 615 Broadway, Millbrae, CA 94030-1909 | 2011-09-15 |
| Street Address |
2490 HOSPITAL DR STE 210 |
| City | MOUNTAIN VIEW |
| State | CA |
| Zip Code | 94040-4117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851349609 | Edward Karpman | Urology | 2490 Hospital Dr Ste 210, Mountain View, CA 94040-4117 | 2006-05-04 |
| 1588612899 | Larry H. Kretchmar | Urology | 2490 Hospital Dr Ste 210, Mountain View, CA 94040-4117 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246696 | Peninsula Wellness Centre | Chiropractor | 2425 Callifornia St Ste E, Mountain View, CA 94040 | 2020-05-07 |
| 1225669674 | Mitera Inc. | Psychiatry & Neurology | 1049 El Monte Ave Ste C #633, Mountain View, CA 94040 | 2020-02-03 |
| 1144862343 | Lavon Hester Bobo | Marriage & Family Therapist | 836 W. El Camino, Mountain View, CA 94040 | 2019-10-09 |
| 1871141945 | Cindy Crystal Wong | Nurse Practitioner | 2630 West El Camino Real, Mountain View, CA 94040 | 2019-08-30 |
| 1003471129 | Jennifer Langsdorf Royer | Marriage & Family Therapist | 1059 El Monte Avenue, Suite B, Mountain View, CA 94040 | 2019-05-03 |
| 1255899332 | Joanna Lynn Quan | Social Worker | Palo Alto Medical Foundation, 701 E. El Camino Real, Mountain View, CA 94040 | 2019-03-07 |
| 1750861522 | Kelby Katz | Counselor | 575 S Rengstorff Ave Apt 80, Mountain View, CA 94040 | 2018-08-20 |
| 1861982472 | David Young Lee | Counselor | 870 E El Camino Real, Mountain View, CA 94040 | 2018-05-18 |
| 1740709260 | May Man Lowe | Pharmacist | 1517 Lloyd Way, Mountain View, CA 94040 | 2017-09-15 |
| 1134647753 | Ryan David Emery | Physical Therapist | 525 South Dr #211, Mountain View, CA 94040 | 2017-09-04 |
| Find all providers in zip 94040 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316989635 | El Camino Urology Medical Group, Inc | Urology | 2490 Hospital Dr., Ste. 210, Mountain View, CA 94040-4323 | 2006-06-12 |
| 1851349609 | Edward Karpman | Urology | 2490 Hospital Dr Ste 210, Mountain View, CA 94040-4117 | 2006-05-04 |
| 1891105706 | Nancy Wang | Urology | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2014-04-30 |
| 1477855641 | Urological Surgeons of Northern California | Urology | 2490 Hospital Dr, Suite 210, Mountain View, CA 94040-4122 | 2010-11-22 |
| 1841467925 | John Fair Schmaelzle | Urology | 2490 Hospital Dr, Suite 210, Mountain View, CA 94040-4122 | 2008-05-08 |
| 1740478775 | Tin Chan Ngo | Urology | 701 E El Camino Real, Mountain View, CA 94040 | 2007-10-03 |
| 1972700052 | Monica Lucero Richardson | Urology | 2490 Hospital Dr Ste 102, Mountain View, CA 94040-4124 | 2007-07-02 |
| 1932221694 | Surat Phonsombat | Urology | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2007-04-04 |
| 1720175425 | Scott Angell | Urology | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2006-10-06 |
| 1063508109 | Arnold Aigen | Urology | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2006-10-05 |
| Find all providers in MOUNTAIN VIEW | ||||
| City | MOUNTAIN VIEW |
| Zip Code | 94040 |
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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.