MELINDA JOY WONG (NPI# 1164885455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164885455 |
| Entity Type | Individual |
| Full Name | MELINDA JOY WONG |
| Credential | FNP |
| Practice Address |
4625 Quigg Dr Santa Rosa CA 95409-5377 |
| Practice Telephone | 7075372111 |
| Mailing Telephone | 7075372111 |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2018-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95003117 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699012914 | Melinda Wong | Nurse Practitioner | 1406 Mcgavock Pike Ste B, Nashville, TN 37216-3233 | 2013-01-07 |
| 1912289430 | Melinda Wong | Pharmacist | 983 Providence Hwy, Dedham, MA 02026-6835 | 2011-09-10 |
| 1396129219 | Melinda Wong | Pharmacist | 2315 Stockton Blvd Rm 762, Sacramento, CA 95817-2201 | 2015-07-10 |
| 1306195532 | Melinda Wong | Counselor | 1727 Amsterdam Ave, New York, NY 10031-4611 | 2012-09-04 |
| 1497921969 | Melinda Wong | Pharmacist | 5000 S 5th Ave, Hines, IL 60141-3030 | 2008-05-05 |
| Street Address |
4625 QUIGG DR |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95409-5377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164593497 | Heather Jean Furnas | Specialist | 4625 Quigg Dr, Santa Rosa, CA 95409-5377 | 2006-11-10 |
| 1578110649 | Kelsey Ann Cox | Physician Assistant | 4625 Quigg Dr, Santa Rosa, CA 95409-5377 | 2019-08-22 |
| 1649710070 | Jodie Roades | Physician Assistant | 4625 Quigg Dr, Santa Rosa, CA 95409-5377 | 2017-03-05 |
| 1306385224 | Corinn Singletary | Physician Assistant | 4625 Quigg Dr, Santa Rosa, CA 95409-5377 | 2017-02-13 |
| 1295878874 | The Surgery Suite | Clinic/Center | 4625 Quigg Dr, Santa Rosa, CA 95409-5377 | 2007-02-14 |
| 1538201587 | Plastic Surgery Associates | Clinic/Center | 4625 Quigg Dr, Santa Rosa, CA 95409-5377 | 2007-02-13 |
| 1194884270 | Francisco L Canales | Specialist | 4625 Quigg Dr, Santa Rosa, CA 95409-5377 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568005205 | Angela Tejeda | Counselor | 35555 Sonoma Hwy, Santa Rosa, CA 95409 | 2019-10-25 |
| 1609335314 | Heidi Diebel | Marriage & Family Therapist | 9291 Oak Trail Cir, Santa Rosa, CA 95409 | 2019-03-13 |
| 1427525328 | Christopher William Schouest | Behavioral Analyst | 5424 Sharon St., Santa Rosa, CA 95409 | 2018-10-29 |
| 1194178756 | Ana Ceniceros | Registered Nurse | 7425 Los Guilucos Rd, Santa Rosa, CA 95409 | 2016-07-19 |
| 1669842878 | Kimberly Harris | Counselor | 7425 Los Guilicos Rd., Dept. H, Santa Rosa, CA 95409 | 2015-09-30 |
| 1568884849 | Christopher Cincotta | Counselor | 540 Middle Rincon Road, Santa Rosa, CA 95409 | 2014-01-06 |
| 1104186626 | Gina Ruth Sarpy | Marriage & Family Therapist | 7425 Los Guilicos Rd, Dept. H, Santa Rosa, CA 95409 | 2012-05-17 |
| 1467745950 | Courtney King | Family Medicine | 4702 Starbuck Ave, Santa Rosa, CA 95409 | 2011-05-17 |
| 1427351162 | Robert E Richardson Md Professional Corp. | Surgery | 1812 Happy Valley Road, Santa Rosa, CA 95409 | 2010-12-20 |
| 1497063564 | Edmundo Simon Martinez IIi IIi | Occupational Therapist | 5555 Montgomery Dr., Santa Rosa, CA 95409 | 2010-09-22 |
| Find all providers in zip 95409 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780160234 | Susan English Knowles | Nurse Practitioner | 3383 Airway Dr, Santa Rosa, CA 95403-2005 | 2018-07-18 |
| 1912498726 | Lydia Ann Smith | Nurse Practitioner | 2375 Range Ave Unit 1, Santa Rosa, CA 95403-9419 | 2018-05-29 |
| 1659870186 | Shannon Cross Todd | Nurse Practitioner | 4729a Hoen Ave, Santa Rosa, CA 95405-7862 | 2018-02-11 |
| 1093222408 | Mary Esther Andich | Nurse Practitioner | 2800 Cleveland Ave Ste A, Santa Rosa, CA 95403-2784 | 2018-01-08 |
| 1316473697 | Renee Novakovich | Nurse Practitioner | 704 Adobe Dr, Santa Rosa, CA 95404-2706 | 2017-05-05 |
| 1780139634 | Robin Shank Sanderson | Nurse Practitioner | 751 Lombardi, Santa Rosa, CA 95407 | 2016-08-22 |
| 1437549235 | Jennifer Takagi | Nurse Practitioner | 1803 Aspen Leaf Ln, Santa Rosa, CA 95401-4295 | 2015-01-31 |
| 1164828828 | Danielle J Daye | Nurse Practitioner | 50 Montgomery Dr, Santa Rosa, CA 95404-6615 | 2014-11-07 |
| 1609208354 | Derrick Pelton | Nurse Practitioner | 2360 Mendocino Ave Ste A4, Santa Rosa, CA 95403-3154 | 2013-08-05 |
| 1225313869 | Kristine Monson Brown | Nurse Practitioner | 1501 Mendocino Ave, Santa Rosa, CA 95401-4332 | 2011-10-14 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95409 |
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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.