JACQUELINE WONG (NPI# 1962616235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962616235 |
| Entity Type | Individual |
| Full Name | JACQUELINE WONG |
| Credential | D.M.D., M.M.SC. |
| Practice Address |
1998 Broadway Apt 1207 San Francisco CA 94109-2281 |
| Practice Telephone | 4153176430 |
| Practice Fax Number | 4153468698 |
| Mailing Telephone | 4153176430 |
| Mailing Fax Number | 4153468698 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
53490 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831708791 | Jacqueline H Wong | Counselor | 10 Schalks Crossing Rd Ste 501a-105, Plainsboro, NJ 08536-1612 | 2020-07-27 |
| 1114968393 | Jacqueline C Wong | Internal Medicine | 1336 W Valley Blvd, Suite A, Alhambra, CA 91803-2480 | 2006-06-09 |
| 1649804790 | Jacqueline Wong | Occupational Therapist | 710 Nw Juniper St, Issaquah, WA 98027-2717 | 2020-02-27 |
| 1417315490 | Jacqueline J Wong | Dentist | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2016-02-04 |
| 1043609712 | Jacqueline Mahn Kwan Wong | Obstetrics & Gynecology | 250 E Superior St, Dept Obstetrics and Gynecology, Chicago, IL 60611-2914 | 2015-01-17 |
| 1083041701 | Jacqueline Michelle Wong | Emergency Medicine | 914 S Scheuber Rd, Centralia, WA 98531 | 2013-09-27 |
| 1184841710 | Jacqueline Y Wong | Family Medicine | 550 16th Ave, #100, Seattle, WA 98122-5699 | 2007-04-18 |
| 1760479323 | Jacqueline W Wong | Ophthalmology | 945 Hildebrand Ln Ne, Suite 235, Bainbridge Island, WA 98110-2877 | 2005-09-29 |
| Street Address |
1998 BROADWAY APT 1207 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94109-2281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169738 | Emmapreet Bal | Social Worker | 750 Post Street, San Francisco, CA 94109 | 2020-09-21 |
| 1801414669 | Hegla Yakeline Fielding | Registered Nurse | Felton Institute, 1500 Franklin St, San Francisco, CA 94109 | 2020-07-08 |
| 1356991350 | Rachel Sit Wong | Technician | 1280 Ellis St. Apt. 12, San Francisco, CA 94109 | 2019-09-12 |
| 1396392502 | Laura Kathryn Strader | Student in an Organized Health Care Education/Training Program | Community Youth Center, 1038 Post Street, San Francisco, CA 94109 | 2019-08-22 |
| 1821650227 | Anita Kathleen O'shea | Community Health Worker | 730 Polk St 4th Floor, San Francisco, CA 94109 | 2019-07-05 |
| 1275015638 | Quenna G Lee | Occupational Therapist | 1948 California Street, San Francisco, CA 94109 | 2018-09-02 |
| 1659857340 | Kaihan Zhong | Marriage & Family Therapist | 1038 Post Street Community Youth Center, San Francisco, CA 94109 | 2018-07-16 |
| 1144716044 | Elaina Barulic | Marriage & Family Therapist | 2040 Gough St, San Francisco, CA 94109 | 2018-07-03 |
| 1447778048 | Yltze Pamela Cubas-moody | Dentist | 2107 Vanness Ave, San Francisco, CA 94109 | 2017-09-03 |
| 1063939387 | Ritu Sen | Counselor | 815 Hyde Street, Suite 100, San Francisco, CA 94109 | 2017-08-28 |
| Find all providers in zip 94109 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508359902 | L Swayamprakasam Dds Corp | Dentist | 1550 Lombard St, San Francisco, CA 94123-3154 | 2018-06-11 |
| 1720427651 | Nicole Olivares | Dentist | 450 Sutter St Rm 1314, San Francisco, CA 94108-4002 | 2013-06-25 |
| 1578827226 | Jeff Takai | Dentist | 882 Presidio Ave, San Francisco, CA 94115-2921 | 2012-06-27 |
| 1356624175 | Sohyun Park | Dentist | 450 Sutter St Rm 2400, San Francisco, CA 94108-4203 | 2011-09-28 |
| 1114218153 | Joyce Yi-tzy Cheng | Dentist | 1356 3rd Ave, San Francisco, CA 94122-2719 | 2011-04-25 |
| 1376832337 | John Bigelow Hartman | Dentist | 685 Commercial St, San Francisco, CA 94111-2503 | 2011-03-30 |
| 1962720433 | Christina Gasper | Dentist | 450 Sutter St Rm 2336, San Francisco, CA 94108-4202 | 2010-05-09 |
| 1881856383 | Jung Sun Han | Dentist | 170 King St, Suite 105, San Francisco, CA 94107-1917 | 2008-06-26 |
| 1760682074 | Thomas Ridge Baker | Dentist | 450 Sutter St Rm 1935, San Francisco, CA 94108-4107 | 2007-07-24 |
| 1801095104 | Eric Engert | Dentist | 450 Sutter St Rm 2326, San Francisco, CA 94108-4202 | 2007-07-16 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94109 |
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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.