DR. KELLY LEE WONG


Address: 3300 Webster St, 1000, Oakland, CA 94609-3117
Phone: 5102714400

DR. KELLY LEE WONG (NPI# 1205174505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205174505
Entity Type Individual
Full Name DR. KELLY LEE WONG
Credential MD.,
Practice Address 3300 Webster St
1000
Oakland
CA 94609-3117
Mailing Address 3300 Webster Street
1000
Oakland
CA 94609
Practice Telephone 5102714400
Practice Fax Number 5102714490
Mailing Telephone 5102714400
Mailing Fax Number 5102714490
Enumeration Date 2013-01-21
Last Update Date 2016-05-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine A123565 CA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program A123565 CA Student, Health Care

Other Providers KELLY WONG

NPI Name Taxonomy Address Enumeration
1992176259 Kelly Wong Pharmacist 1120 S Nt Vernon Ave, Colton, CA 92324 2015-10-13
1699865741 Kelly Kwok Wong Specialist 728 Pacific Ave # 703, San Francisco, CA 94133-4457 2006-10-12
1194377572 Kelly Wong Behavior Technician 8795 Folsom Blvd Ste 103, Sacramento, CA 95826-3720 2019-07-15
1306347364 Kelly Wong Behavior Technician 5820 Stoneridge Mall Rd Ste 205, Pleasanton, CA 94588-3347 2018-02-26
1376073593 Kelly Wong Emergency Medicine 593 Eddy St, Providence, RI 02903-4923 2017-06-20
1174803605 Kelly Marie Wong Nurse Practitioner 861 Sw 78th Ave, Ste 200b, Plantation, FL 33324-3273 2011-08-29
1710157318 Kelly Wong Nurse Practitioner 4201 Henry Ave, Philadelphia University, Student Health Center, Philadelphia, PA 19144-5409 2008-03-11
1215106448 Kelly Tim Tim Wong Family Medicine 711 W College St Ste 208, Los Angeles, CA 90012-1093 2008-02-21
1932289824 Kelly Kristin Wong Family Medicine 250 E Yale Loop, Ste 204, Irvine, CA 92604-4697 2006-10-16

Office Location

Street Address 3300 WEBSTER ST
1000
City OAKLAND
State CA
Zip Code 94609-3117

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073517603 James K. Mooney Specialist 3300 Webster St, Ste 710, Oakland, CA 94609-3117 2005-06-10
1174970461 Malboubi Dental Corporation Dentist 3300 Webster St, Suite 905, Oakland, CA 94609-3117 2016-05-17
1245607456 Hill Health Inc A Medical Corporation Family Medicine 3300 Webster St, Oakland, CA 94609-3117 2015-08-24
1669879714 Catherine Logan Maier Registered Nurse 3300 Webster St, Suite 1200, Oakland, CA 94609-3117 2014-12-03
1124420658 Brianna Nicole Cosentino Physical Therapist 3300 Webster St, 1201, Oakland, CA 94609-3117 2014-09-16
1477966919 Jessica Tice Physical Therapist 3300 Webster St, 703, Oakland, CA 94609-3117 2014-06-03
1770885741 Rachel L Kay Nurse Practitioner 3300 Webster St, Suite 304, Oakland, CA 94609-3117 2010-11-24
1306146568 Carolyn Jacobs Bernstein Nurse Practitioner 3300 Webster St, Oakland, CA 94609-3117 2010-10-21
1528378460 John Alexander Gillean Psychiatry & Neurology 3300 Webster St, Suite 402, Oakland, CA 94609-3117 2010-10-13
1114254398 Amoreena Berg Marriage & Family Therapist 3300 Webster St, Suite 408, Oakland, CA 94609-3117 2009-11-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104457159 Gerard John-charles Coughlin Student in an Organized Health Care Education/Training Program Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 2020-01-29
1417502022 Michael Knittel Registered Nurse 370 Hawthorne Ave, Oakland, CA 94609 2019-08-09
1962057562 Nicole Kjolby Registered Nurse Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 2019-08-09
1396208286 Graham Vallis Student in an Organized Health Care Education/Training Program Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 2019-04-09
1386129526 Gary Mitchell Snider Counselor 390 40th Street, Oakland, CA 94609 2018-10-02
1720568389 Lice Control Inc. Technician 6557 Shattuck Ave, Oakland, CA 94609 2018-08-14
1528559150 Jenna Marie Kincaid Behavior Technician 400 29th St., 204, Oakland, CA 94609 2018-05-18
1336656669 Nicholas Dicarlo Social Worker 465 34th St Ste 6, Oakland, CA 94609 2018-01-09
1174045744 Theodora J Marzouk Home Health Aide 3317 Elm Street, Suite 202, Oakland, CA 94609 2017-07-14
1740728922 Elena Gardella Marriage & Family Therapist 411 30th Street, Suite 412, Oakland, CA 94609 2017-02-07
Find all providers in zip 94609

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114491743 Kimberly Hicks M D Inc Internal Medicine 3317 Elm St Ste 102, Oakland, CA 94609-3053 2019-01-16
1457718736 John Flaningam Internal Medicine 11 Hillcrest Ct, Oakland, CA 94619-2411 2016-01-18
1861822819 Harold Orr Jr. Internal Medicine 11100 Kerrigan Dr, Oakland, CA 94605-5414 2013-11-12
1245672815 Abdul Wasay Raif Jawid Internal Medicine 1401 E 31st St, Oakland, CA 94602 2013-07-24
1255605192 James Pickett Seward Internal Medicine 5493 Taft Ave, Oakland, CA 94618-1501 2012-02-23
1265719033 My Health Medical Group Inc Internal Medicine 1221 Broadway Fl 7, Oakland, CA 94612-1837 2011-11-08
1720376395 Lisa Jane Chandler Internal Medicine 5433 Thomas Ave, Oakland, CA 94618-1749 2011-07-18
1679872444 Mitchell Liverant Internal Medicine 3600 Broadway Fl 2, Oakland, CA 94611-5730 2011-03-19
1770880163 Astha Kanani Internal Medicine 3451 E 12ths St, Oakland, CA 94601-3463 2011-02-21
1861705725 Jose A Lopez M.d P.a Internal Medicine 30 Remington Rd, Suite 2, Oakland, FL 34787-9797 2010-07-21
Find all providers in OAKLAND

Competitor

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City OAKLAND
Zip Code 94609

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Dataset Information

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.

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