JEFFREY WONG (NPI# 1164790507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164790507 |
| Entity Type | Individual |
| Full Name | JEFFREY WONG |
| Credential | M.D. |
| Practice Address |
18785 Brookhurst St Ste 100 Fountain Valley CA 92708-7300 |
| Mailing Address |
24331 El Toro Rd Ste 200 Laguna Woods CA 92637-3116 |
| Practice Telephone | 7145005056 |
| Practice Fax Number | 9495407148 |
| Mailing Telephone | 9495863200 |
| Mailing Fax Number | 9499002136 |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2019-04-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | A114599 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Ucla Medical Ctr, 757 Westwood Plaza, Room B-711, Los Angeles, CA 900950001 | 3108256557 | |
| 701 E 28th St Ste 117, Long Beach, CA 908062772 | 5624269890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033455027 | Jeffrey Wong | Occupational Therapist | 3051 Watson Blvd Ste 525, Warner Robins, GA 31093-8556 | 2012-12-19 |
| 1013184498 | Jeffrey Y Wong | Dentist | 200 Brown Rd Ste 202, Fremont, CA 94539-7957 | 2008-05-14 |
| 1508933763 | Jeffrey C.m. Wong | Obstetrics & Gynecology | 4643b Waimea Canyon Dr., Waimea, HI 96796 | 2006-11-30 |
| 1720087315 | Jeffrey Alan Wong | Pharmacist | 1333 Castro St, San Francisco, CA 94114-3620 | 2005-07-18 |
| 1922619139 | Jeffrey Hu Wong | Acupuncturist | 1530 S Union Ave Ste 4, Tacoma, WA 98405-1954 | 2020-08-11 |
| 1386136331 | Jeffrey Wong | Chiropractor | 1609 Meridian Ave, San Jose, CA 95125-5532 | 2018-06-05 |
| 1043691181 | Jeffrey Ling-yi Wong | Internal Medicine | 75 Francis St, Boston, MA 02115-6110 | 2015-06-15 |
| 1518271089 | Jeffrey Wong | Pharmacist | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2010-07-27 |
| 1578893368 | Jeffrey J Wong | Physician Assistant | 259 E Erie St, 13th Floor, Chicago, IL 60611-2987 | 2009-12-30 |
| 1174795348 | Jeffrey Mew Wong | Dentist | 1580 Winchester Blvd, Suite 204, Campbell, CA 95008-0519 | 2008-03-28 |
| Street Address |
18785 BROOKHURST ST STE 100 |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip Code | 92708-7300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
| 1124632757 | Neck & Back Pain Specialists, A Balta Chiropractic Corporation | Chiropractor | 10231 Slater Ave. #113, Fountain Valley, CA 92708 | 2020-09-01 |
| 1295205425 | Alexander Nee Dds Inc | Dentist | 337 S Rancho Santa Fe Rd, San Marcos, CA 92708 | 2018-11-30 |
| 1093293052 | Claudia Raquel Santos | Physical Therapist | 18384 Brookhurst Street, Fountain Valley, CA 92708 | 2018-08-01 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1992297881 | Ereny Abdelmalak Metry | Pharmacist | 9064 Daffodil Ave, Fountain Valley, CA 92708 | 2018-06-06 |
| 1144746348 | Goose Pharma, LLC | Pharmacy | 18049 Magnolia Street, Fountain Valley, CA 92708 | 2017-08-18 |
| 1932622347 | Mayra Alejandra Guerra | Social Worker | 18350 Mt Langley St, Suite 200, Fountain Valley, CA 92708 | 2017-07-18 |
| 1942722129 | Graph Surgery Inc | Plastic Surgery | 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 | 2017-07-10 |
| 1871022277 | Cathy A Castagna-petersen | Counselor | 10529 Slater Avenue, Fountain Valley, CA 92708 | 2017-06-08 |
| Find all providers in zip 92708 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073866786 | Palm Healthcare, Inc. | Orthopaedic Surgery | 18837 Brookhurst St Ste 106, Fountain Valley, CA 92708-7301 | 2012-10-18 |
| 1982995916 | Minal Dileep Tapadia | Orthopaedic Surgery | 11170 Warner Ave Ste 106, Fountain Valley, CA 92708-4014 | 2011-04-25 |
| 1730405440 | Borys Gvozdyev | Orthopaedic Surgery | 18035 Brookhurst St Ste 1200, Fountain Valley, CA 92708-6738 | 2010-04-20 |
| 1427221134 | Trong B Nguyen | Orthopaedic Surgery | 18035 Brookhurst St # 1100, Fountain Valley, CA 92708-6738 | 2008-04-02 |
| 1700096393 | Christopher C. Ninh | Orthopaedic Surgery | 11190 Warner Ave Ste 306, Fountain Valley, CA 92708-4047 | 2007-05-23 |
| 1679645204 | Trieu T Tran, Md. Inc. | Orthopaedic Surgery | 11180 Warner Ave Ste 455, Fountain Valley, CA 92708-7505 | 2006-11-15 |
| 1720052459 | Ryan Andrew Fan | Orthopaedic Surgery | 11190 Warner Ave Ste 300, Fountain Valley, CA 92708-4045 | 2006-02-17 |
| 1093223034 | Anatol Podolsky Md Inc | Orthopaedic Surgery | 18035 Brookhurst St Ste 1200, Fountain Valley, CA 92708-6738 | 2018-01-11 |
| 1780049619 | Darius E Lin, Md, Inc | Orthopaedic Surgery | 11160 Warner Avenue, Suite 311, Fountain Valley, CA 92708-4055 | 2015-12-18 |
| 1972940872 | Timothy Tien-wei Cheng | Orthopaedic Surgery | 11160 Warner Ave Ste 311, Fountain Valley, CA 92708-4055 | 2013-05-31 |
| Find all providers in FOUNTAIN VALLEY | ||||
| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
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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.