GORDON C WONG (NPI# 1063596211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063596211 |
| Entity Type | Individual |
| Full Name | GORDON C WONG |
| Credential | PHARM. D |
| Practice Address |
155 Heritage Ave Clovis CA 93619-7612 |
| Practice Telephone | 5593248639 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 49878 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285271064 | Gordon W.s. Wong | Massage Therapist | 1236 Waimanu St Ste A, Honolulu, HI 96814-4305 | 2019-11-29 |
| 1306047964 | Gordon Wong | Dentist | 1818 Taraval St, San Francisco, CA 94116-2311 | 2007-05-30 |
| 1447338447 | Gordon G Wong | Optometrist | 7825 Fay Ave Ste 140, La Jolla, CA 92037-4247 | 2006-11-01 |
| 1336243732 | Gordon Wong | Dentist | 401 E 21st St, Oakland, CA 94606-1914 | 2006-09-07 |
| 1417949942 | Gordon Miles Wong | Optometrist | 66 E Washington St, Petaluma, CA 94952-3165 | 2005-08-19 |
| 1710987433 | Gordon Wong | Pharmacist | 16630 Marquez Ave, Pacific Palisades, CA 90272-3233 | 2005-07-22 |
| 1437656980 | Gordon Xuefeng Wong | Student in an Organized Health Care Education/Training Program | 4150 V St # 1100, Sacramento, CA 95817-1460 | 2018-04-11 |
| 1225567472 | Gordon Wong | Student in an Organized Health Care Education/Training Program | 1441 N 12th St Fl 3, Phoenix, AZ 85006-2837 | 2017-06-09 |
| 1902138787 | Gordon K Wong | Social Worker | 1038 Post St, San Francisco, CA 94109-5603 | 2010-02-04 |
| 1639345184 | Gordon K Wong | Preventive Medicine | 409 W Main St, Alhambra, CA 91801-3433 | 2008-05-05 |
| Street Address |
155 HERITAGE AVE |
| City | CLOVIS |
| State | CA |
| Zip Code | 93619-7612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639557655 | Esperanza Therapy Services, LLC | Community/Behavioral Health | 3293 Whiteash, Clovis, CA 93619 | 2015-05-11 |
| 1063828960 | Rose Scott | Rehabilitation Practitioner | 3675 Richmond Avenue, Clovis, CA 93619 | 2014-07-11 |
| 1538458237 | Paula Y. Mouanoutoua | Pharmacist | 1544 N. Cherrylane, Clovis, CA 93619 | 2011-04-04 |
| 1114041795 | Anagha Pathak | Contractor | 776 W Siena Ln, Clovis, CA 93619 | 2007-03-19 |
| 1497742555 | Mohammad H Rahman | Allergy & Immunology | 12365 N Via Tuscania, Clovis, CA 93619 | 2005-10-04 |
| 1285771238 | Iulia Vorobchevici | Dentist | 1305 N Willow Ave, Suite 110, Clovis, CA 93619 | 2007-01-31 |
| 1316194368 | Carlo Magno Arriba Paderna | Dentist | 1627 N Karen Ave, Clovis, CA 93619-0406 | 2008-08-21 |
| 1871952317 | Brenda Louise Munoz | Physical Therapy Assistant | 513 W Prescott Ave, Clovis, CA 93619-0423 | 2016-02-12 |
| 1023277126 | Rosa Petrosian | Non-emergency Medical Transport (VAN) | 2471 Deauville Cir, Clovis, CA 93619-2828 | 2008-06-03 |
| 1831463330 | H & A Medical Transportation | Non-emergency Medical Transport (VAN) | 2471 Deauville Cir, Clovis, CA 93619-2828 | 2012-02-29 |
| Find all providers in zip 93619 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730791260 | Gabriela Dutra-clarke | Pharmacist | 1712 Burgan Ave, Clovis, CA 93611-3158 | 2020-08-17 |
| 1285254045 | Inga Sarkisian | Pharmacist | 3445 Amanecer Ave, Clovis, CA 93619-5189 | 2020-04-22 |
| 1952932923 | Tia Tang | Pharmacist | 12246 N Via Piemonte Ave, Clovis, CA 93619-8389 | 2020-01-29 |
| 1235798695 | Lien Nguyen | Pharmacist | 3522 Smith Ln, Clovis, CA 93619-4311 | 2019-06-10 |
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1518449289 | Colton Ray Dant | Pharmacist | 2401 W 21st St, Clovis, NM 88101-2006 | 2018-08-30 |
| 1407369275 | Tony Minh Ta | Pharmacist | 159 W Shaw Ave, Clovis, CA 93612-3726 | 2017-11-14 |
| 1023521291 | Mei Feng Guan | Pharmacist | 745 N Fowler Ave Apt 230, Clovis, CA 93611-6876 | 2017-11-10 |
| 1659809507 | Allen Keshishian Namagerdi | Pharmacist | 111 W 9th St Apt 272, Clovis, CA 93612-1734 | 2017-05-23 |
| 1417482464 | Tiffanie Guy | Pharmacist | 2810 Willow Ave Apt 206, Clovis, CA 93612 | 2017-04-27 |
| Find all providers in CLOVIS | ||||
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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.