DR. JEFFREY MEW WONG (NPI# 1174795348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174795348 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY MEW WONG |
| Credential | D.D.S. |
| Practice Address |
1580 Winchester Blvd Suite 204 Campbell CA 95008-0519 |
| Practice Telephone | 4083740428 |
| Mailing Telephone | 4083740428 |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
43101 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033455027 | Jeffrey Wong | Occupational Therapist | 3051 Watson Blvd Ste 525, Warner Robins, GA 31093-8556 | 2012-12-19 |
| 1164790507 | Jeffrey Wong | Orthopaedic Surgery | 18785 Brookhurst St Ste 100, Fountain Valley, CA 92708-7300 | 2011-12-13 |
| 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 |
| Street Address |
1580 WINCHESTER BLVD SUITE 204 |
| City | CAMPBELL |
| State | CA |
| Zip Code | 95008-0519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396741484 | Clifford Owen Marks | Dentist | 1580 Winchester Blvd, Ste 303, Campbell, CA 95008-0519 | 2005-06-22 |
| 1922349406 | California Hearing Aid Center West | Durable Medical Equipment & Medical Supplies | 1580 Winchester Blvd, Suite 104, Campbell, CA 95008-0519 | 2013-03-08 |
| 1265748057 | Sona Khinvasara, Dds, Inc. | Clinic/Center | 1580 Winchester Blvd, Suite 205, Campbell, CA 95008-0519 | 2010-08-31 |
| 1700192838 | Sona Khinvasara | Dentist | 1580 Winchester Blvd, #205, Campbell, CA 95008-0519 | 2010-08-26 |
| 1326166174 | Farnoush Drexel | Dentist | 1580 Winchester Blvd, Campbell, CA 95008-0519 | 2007-03-27 |
| 1275660516 | Elham J Louis | Family Medicine | 1580 Winchester Blvd, Ste 202, Campbell, CA 95008-0519 | 2007-02-27 |
| 1912080367 | John A. Hughes, Dds Inc. | Dentist | 1580 Winchester Blvd, Suite # 303, Campbell, CA 95008-0519 | 2006-10-21 |
| 1699885566 | Thomas Allen Hughes | Dentist | 1580 Winchester Blvd, Suite 303, Campbell, CA 95008-0519 | 2006-08-30 |
| 1669580254 | William.. Franklin Brownridge | Dentist | 1580 Winchester Blvd, Suite 303, Campbell, CA 95008-0519 | 2006-08-25 |
| 1194736967 | James Alfred Carter | Dentist | 1580 Winchester Blvd, Campbell, CA 95008-0519 | 2006-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780298380 | Kerry Lynn Osteen | Massage Therapist | 3579 S Bascom Ave, Apt 5, Campbell, CA 95008 | 2020-09-02 |
| 1164057550 | Francesca Dalangin | Physical Therapist | 163 E. Hamilton Avenue, Campbell, CA 95008 | 2020-03-06 |
| 1144790767 | Haley Brucato | Behavior Technician | 131 Rose Court Apt. 21, Campbell, CA 95008 | 2018-11-27 |
| 1740765809 | Crystal-xuanthao Nguyen Curammeng | Licensed Vocational Nurse | 251 Llwelyn Ave, Campbell, CA 95008 | 2018-09-25 |
| 1841799236 | Gabrielle Suzanne Buma | Physician Assistant | Uplift Family Services 251 Llewellyn Ave, Campbell, CA 95008 | 2018-02-12 |
| 1093214660 | Toni Lynn Clementi | Marriage & Family Therapist | 116 E. Campbell Ave, Campbell, CA 95008 | 2018-02-08 |
| 1184132573 | My Hanh Thi Nguyen | Behavioral Analyst | 1440 Theresa Avenue, Campbell, CA 95008 | 2018-01-19 |
| 1346770948 | Stephanie Michele Klahold | Pharmacist | 100 North San Tomas Aquino Road, Campbell, CA 95008 | 2017-06-15 |
| 1578095378 | Elina Josephson | Marriage & Family Therapist | 155 E Campbell Ave Ste 117, Campbell, CA 95008 | 2017-03-30 |
| 1912448408 | Suzane Mitchualmacauley | Licensed Vocational Nurse | 251 Llewelyn Ave, Uplift Family Services, Campbell, CA 95008 | 2017-03-16 |
| Find all providers in zip 95008 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235790791 | Saumya Ram | Dentist | 1580 Winchester Blvd Ste 303, Campbell, CA 95008-0519 | 2019-06-25 |
| 1275058398 | Yasaman Yasini | Dentist | 216 Shelley Ave, Campbell, CA 95008-7004 | 2017-08-09 |
| 1811355035 | Betsabeh Doroudian Tehrani | Dentist | 833 S San Tomas Aquino Rd., Unit C, Campbell, CA 95008-4455 | 2016-02-02 |
| 1245516517 | Ailan Tran, D.d.s., A Professional Dental Corporation | Dentist | 1374 E Hamilton Ave, Campbell, CA 95008-0833 | 2011-10-31 |
| 1407159593 | Catalina Phan | Dentist | 1570 La Pradera Dr, Campbell, CA 95008-1533 | 2010-12-10 |
| 1902131121 | Ann Michelle Lyles | Dentist | 975 Harrison Ave, Campbell, CA 95008-0117 | 2009-10-06 |
| 1306010079 | Vinh T Pham I | Dentist | 75 S San Tomas Aquino Rd Ste 2, Campbell, CA 95008-2575 | 2008-04-14 |
| 1427255298 | Donald Daryol Butcher | Dentist | 115 N Locust St, Campbell, MO 63933-0128 | 2007-06-27 |
| 1467572982 | Barton Lee Machado | Dentist | 484 W Hamilton Ave, Campbell, CA 95008-0548 | 2007-03-29 |
| 1710029707 | Ronald Ernest Miller | Dentist | 2290 South Winchester Blvd, Campbell, CA 95008-3429 | 2007-02-13 |
| Find all providers in CAMPBELL | ||||
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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.