DR. MYRA WONG (NPI# 1225146616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225146616 |
| Entity Type | Individual |
| Full Name | DR. MYRA WONG |
| Credential | M.D. |
| Practice Address |
9300 Valley Childrens Pl Madera CA 93636 |
| Mailing Address |
9300 Valley Childrens Pl Madera CA 93636-8761 |
| Practice Telephone | 5593535803 |
| Mailing Telephone | 5593535803 |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2018-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
130621 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346650371 | Myra Wong | Pathology | 1 Baylor Plz, Houston, TX 77030-3411 | 2014-04-29 |
| Street Address |
9300 VALLEY CHILDRENS PL |
| City | MADERA |
| State | CA |
| Zip Code | 93636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405753 | Fred H Laningham | Radiology | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2005-05-24 |
| 1043811953 | Ashley Nicole Peton | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2020-11-06 |
| 1063013308 | Samantha Carballo Austin | Social Worker | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-11-03 |
| 1982205217 | Stefanie Marie Gibbons | Social Worker | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-11-03 |
| 1114525128 | Kristin Leann Lokey | Social Worker | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-10-12 |
| 1770190969 | Mallory King | Physician Assistant | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-09-30 |
| 1356957161 | Sabrina Star Tovar | Audiologist | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2020-09-17 |
| 1790391621 | Alyssa Catherine Nakaguchi | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2020-09-16 |
| 1740894773 | Heather Goossen | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-09-08 |
| 1184236820 | Renzio Menico Bantayan Apostol | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043695257 | Kati Pitts | Social Worker | 9300 Valley Children's Pl., Madera, CA 93636 | 2015-07-29 |
| 1386903177 | Christina Lee-ann Badgett | Registered Nurse | 40617 Rd 406, Madera, CA 93636 | 2012-05-14 |
| 1205134897 | Gina West | Counselor | 10120 Lanes Bridge Dr, Madera, CA 93636 | 2011-03-04 |
| 1326342593 | Re Zaw | Pediatrics | 9300 Valley Children's Place, Residency Dept (ge20), Madera, CA 93636 | 2011-01-03 |
| 1013144179 | Cynthia Romer Fata | Pathology | 9300 Valley Childrens Pl # Sc12, Madera, CA 93636 | 2009-06-16 |
| 1689815888 | Nasser Moiduddin | Pediatrics | 9300 Valley Childrens Pl # PC14, Madera, CA 93636 | 2009-03-18 |
| 1174503338 | James Clifton Horspool | Pediatrics | 9300 Valley Children's Place, Mb01, Madera, CA 93636 | 2006-01-21 |
| 1205818465 | James Weston Hole | Obstetrics & Gynecology | 9300 Valley Children's Pl, Fe16, Madera, CA 93636 | 2005-11-15 |
| 1679056493 | Catherine K. Beaumier | Surgery | 9300 Valley Children's Pl., Madera, CA 93636 | 2018-09-07 |
| 1912492216 | Ji Yeon Kwon | Registered Nurse | 9300 Valley Childrens Pl # Ge07, Madera, CA 93636 | 2018-06-28 |
| Find all providers in zip 93636 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982996195 | Caronia Philesia Wallace-fair | Emergency Medicine | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2011-05-05 |
| 1083732648 | Shehma Khan | Emergency Medicine | 9300 Valley Childrens Pl, Childrens Hospital Central California. Emergency Dept., Madera, CA 93636-8761 | 2007-03-26 |
| 1346240520 | Kelly L Kriwanek Rappleye | Emergency Medicine | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407396328 | Brian Forster | Emergency Medicine | 11234 Anderson St Ste A890, Loma Linda, CA 92354-2804 | 2017-02-24 |
| 1588921241 | Guillermo Alberto De Angulo | Emergency Medicine | 1189 Welch Rd, Palo Alto, CA 94304-1905 | 2012-04-19 |
| 1093903262 | Mydili R. Maniam-mohan | Emergency Medicine | 6255 N Fresno St, Ste 106, Fresno, CA 93710-5271 | 2007-10-12 |
| 1255538450 | Julia Nicole Magana | Emergency Medicine | 4150 V St Ste 2100, Sacramento, CA 95817 | 2007-06-29 |
| 1902008733 | Nobuaki Inoue | Emergency Medicine | Llumc House Staff Office Cp 21005, 11234 Anderson Street, Loma Linda, CA 92354 | 2007-06-04 |
| 1891865689 | Michael Dmitri Bell | Emergency Medicine | 717 52nd St, Emergency Dept Childrens Hospital Oakland, Oakland, CA 94609 | 2006-11-08 |
| 1265527741 | Sharon Louise Morozumi | Emergency Medicine | 260 International Circle, San Jose, CA 95119 | 2006-10-03 |
| 1891706933 | Jin H Heur | Emergency Medicine | 1500 E Chevy Chase Dr, Suite 250, Glendale, CA 91206-4152 | 2006-08-11 |
| 1013982826 | Lara Zibners | Emergency Medicine | 3620 Kiekebusch Ct, Carmichael, CA 95608-2840 | 2006-02-23 |
| 1063959153 | Gabriela Moriel | Emergency Medicine | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2017-01-26 |
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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.