LISA WONG (NPI# 1194803841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194803841 |
| Entity Type | Individual |
| Full Name | LISA WONG |
| Credential | MD |
| Practice Address |
9201 Big Horn Blvd Elk Grove CA 95758-1240 |
| Mailing Address |
1800 Harrison St Fl 7 Oakland CA 94612-3429 |
| Practice Telephone | 9164785000 |
| Mailing Telephone | 5106256262 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G79656 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G796560 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023514338 | Lisa Kanata Wong | Student in an Organized Health Care Education/Training Program | Department of Pathology, 300 Pasteur Drive, Edwards Building, R204, Mc: 5324, Palo Alto, CA 94305-4245 | 2018-04-04 |
| 1780821223 | Lisa Kar Ying Wong | Acupuncturist | 18988 Cox Ave Ste C, Saratoga, CA 95070-4154 | 2009-01-20 |
| 1427225499 | Lisa Lai Wong | Pharmacist | 50 Bowery, New York, NY 10013-4801 | 2008-05-09 |
| 1962605428 | Lisa S Wong | Nurse Practitioner | 73 Tremont St, 5th Floor, Boston, MA 02108-3916 | 2007-06-11 |
| 1598825465 | Lisa Wong | Acupuncturist | 5700 Ralston St. Ste. 110, Ventura, CA 93003 | 2006-12-11 |
| 1053963363 | Lisa Amanda Wong | Optometrist | 350 Fairview Ave, Hudson, NY 12534-1224 | 2019-07-16 |
| 1881104610 | Lisa Marie Wong | Dietitian, Registered | 648 Taylor Rd, Gahanna, OH 43230-3202 | 2017-10-06 |
| 1396298667 | Lisa Susann Wong | Counselor | 447 N El Molino Ave, Pasadena, CA 91101-1403 | 2016-08-03 |
| 1376927954 | Lisa Wong | Pharmacist | 720 3rd Ave, Chula Vista, CA 91910-5804 | 2015-07-14 |
| 1285038661 | Lisa Wong | Pharmacist | 8515 Sw Tualatin Sherwood Rd, Tualatin, OR 97062-7583 | 2014-10-14 |
| Street Address |
9201 BIG HORN BLVD |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95758-1240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356336226 | Suzanne Cari Fong | Nurse Practitioner | 9201 Big Horn Blvd, Elk Grove, CA 95758-1240 | 2005-09-15 |
| 1609302116 | Lisa Lam | Pharmacist | 9201 Big Horn Blvd, Elk Grove, CA 95758-1240 | 2017-05-03 |
| 1821523135 | Linh Ta | Pharmacist | 9201 Big Horn Blvd, Elk Grove, CA 95758-1240 | 2017-04-24 |
| 1184156846 | Diann Intagliata | Pharmacist | 9201 Big Horn Blvd, Elk Grove, CA 95758-1240 | 2017-03-31 |
| 1184156994 | Ynhu Vivian Dong | Pharmacist | 9201 Big Horn Blvd, Elk Grove, CA 95758-1240 | 2017-03-30 |
| 1861924862 | Tracy Tran | Pharmacist | 9201 Big Horn Blvd, Elk Grove, CA 95758-1240 | 2017-03-29 |
| 1306377726 | Shuyaa Chen | Pharmacist | 9201 Big Horn Blvd, Elk Grove, CA 95758-1240 | 2017-03-27 |
| 1902282197 | Sarah Mace | Social Worker | 9201 Big Horn Blvd, Elk Grove, CA 95758-1240 | 2015-08-11 |
| 1366835928 | Stephen Kwan | Optometrist | 9201 Big Horn Blvd, Optometry Department, Elk Grove, CA 95758-1240 | 2015-03-06 |
| 1548694367 | Melody Hsin Liu Kang | Psychologist | 9201 Big Horn Blvd, Elk Grove, CA 95758-1240 | 2013-08-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244208 | Obia Njoku | Nurse Practitioner | 9105 Bruceville Rd Ste 1a #580405, Elk Grove, CA 95758 | 2020-01-14 |
| 1992362362 | Kimberly Abrahamson | Student in an Organized Health Care Education/Training Program | 9412 Big Horn Dr #6, Elk Grove, CA 95758 | 2019-05-21 |
| 1447737333 | Elk Grove Rehab & Counseling Center | Counselor | 7807 Laguna Blvd., Suite 480, Elk Grove, CA 95758 | 2018-07-24 |
| 1114424579 | Arielle Mize | Dietitian, Registered | 8161 Sheldon Road, #103, Elk Grove, CA 95758 | 2018-04-11 |
| 1154822609 | Eston Garcia | Behavior Technician | 2366 Martime Drive, Elk Grove, CA 95758 | 2018-02-21 |
| 1912406364 | Nicole Torneros | Behavior Technician | 2336 Maritime Drive, Elk Grove, CA 95758 | 2018-02-12 |
| 1134628712 | Northern California Vasectomy | Family Medicine | 9045 Bruceville Rd Ste 100b, Elk Grove, CA 95758 | 2018-02-08 |
| 1083134399 | Uchechi Mbonu | Assisted Living Facility | 7019 Mcgill Court, Elk Grove, CA 95758 | 2017-06-27 |
| 1922557362 | Muhanad Aliakbar | Driver | 8275 Oakbriar Cir, Elk Grove, CA 95758 | 2016-09-27 |
| 1063868123 | Teresa Vinciguerra | Marriage & Family Therapist | 9412 Elk Horn Blvd, Suite 6, Elk Grove, CA 95758 | 2016-05-09 |
| Find all providers in zip 95758 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497021968 | Zahid Iqbal | Internal Medicine | 8220 Longleaf Drive, Building B Telemedicine, Suite 202, Elk Grove, CA 95758 | 2012-03-28 |
| 1164702437 | Maninder Singh Sanghera | Internal Medicine | 8170 Laguna Blvd Ste 101, Elk Grove, CA 95758-7902 | 2011-08-18 |
| 1740453497 | Phillip G. Mangis | Internal Medicine | 3577 Pacifica Ln, Elk Grove, CA 95758-4642 | 2008-04-02 |
| 1508066341 | Yogesh Nandan | Internal Medicine | 3300 Renwick Ave Unit 2059, Elk Grove, CA 95758-7495 | 2007-07-19 |
| 1518045228 | Edward Pagliere | Internal Medicine | 2820 Buckminster Drive, Elk Grove, CA 95758 | 2006-11-01 |
| 1003832346 | David Lee | Internal Medicine | 8220 Wymark Dr, Elk Grove, CA 95757-6297 | 2006-07-13 |
| 1629019039 | Arun Kumar Vasudeva | Internal Medicine | 9260 Laguna Springs Dr, Suite 302, Elk Grove, CA 95758-7947 | 2006-06-08 |
| 1891755344 | Muhammad Zubair | Internal Medicine | 8220 Wymark Dr Ste 200, Elk Grove, CA 95757-6298 | 2006-03-27 |
| 1487626594 | Jude T Waterbury | Internal Medicine | 2382 Maritime Dr Ste 100, Elk Grove, CA 95758-3659 | 2006-02-02 |
| 1205812195 | Catharine Malmsten | Internal Medicine | 9394 Big Horn Blvd, Elk Grove, CA 95758-7977 | 2005-12-21 |
| Find all providers in ELK GROVE | ||||
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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.