JUDY SUNGWON HONG (NPI# 1225518533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225518533 |
| Entity Type | Individual |
| Full Name | JUDY SUNGWON HONG |
| Credential | FNP |
| Practice Address |
3451 E 12th St Oakland CA 94601-3463 |
| Practice Telephone | 5105353500 |
| Practice Fax Number | 5105354187 |
| Mailing Telephone | 5105353500 |
| Mailing Fax Number | 5105354187 |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2020-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95009700 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1179 N Mcdowell Blvd, Petaluma, CA 94954 | 7075597500 | 7075597620 |
| Street Address |
3451 E 12TH ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94601-3463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144336181 | La Clinica De La Raza Inc | Clinical Medical Laboratory | 3451 E 12th St, Oakland, CA 94601-3425 | 2006-08-22 |
| 1013529338 | Alexander De Jesus Chavarria | Social Worker | 3451 E 12th St, Oakland, CA 94601-3463 | 2020-08-18 |
| 1023666054 | Rebecca Rush | Registered Nurse | 3451 E 12th St, Oakland, CA 94601-3463 | 2019-09-03 |
| 1316405574 | Norma Ruiz Iniguez | Nurse Practitioner | 3451 E 12th St, Oakland, CA 94601-3463 | 2019-03-06 |
| 1184194482 | La Clinica De La Raza, Inc. | Pharmacy | 3451 E 12th St, Oakland, CA 94601-3463 | 2018-11-29 |
| 1740764901 | Christian Eloy Martinez | Physician Assistant | 3451 E 12th St, Oakland, CA 94601-3463 | 2018-09-23 |
| 1629550454 | Sophia Helen Nogue | Registered Nurse | 3451 E 12th St, Oakland, CA 94601-3463 | 2018-08-29 |
| 1659883643 | Yesenia Ramirez-bonilla | Counselor | 3451 E 12th St, Oakland, CA 94601-3463 | 2017-10-30 |
| 1053841387 | Jessie Liu | Family Medicine | 3451 E 12th St, Oakland, CA 94601-3463 | 2017-06-19 |
| 1265969505 | Jaswinder Kaur Singh | Dental Hygienist | 3451 E 12th St, Oakland, CA 94601-3463 | 2017-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988762 | Mohini Gadre | Student in an Organized Health Care Education/Training Program | Casa Del Sol, 1501 Fruitvale Ave, Oakland, CA 94601 | 2020-10-02 |
| 1730704289 | Francheska Baloy | Student in an Organized Health Care Education/Training Program | 13585 San Pablo, San Pablo, CA 94601 | 2020-06-10 |
| 1104476597 | Jonathan Ramos Santiago | Social Worker | 13585 San Pablo, 1st Floor, San Pablo, CA 94601 | 2019-09-17 |
| 1205329802 | Stefany Menjivar | Student in an Organized Health Care Education/Training Program | 3908 International Blvd, Oakland, CA 94601 | 2018-06-08 |
| 1710408430 | Martha Alicia Rea | Physician Assistant | 3301 E. 12th St, Suite 113, Oakland, CA 94601 | 2017-07-03 |
| 1922528744 | Jamie Erin Briskin | Social Worker | 3001 International Blvd., Oakland, CA 94601 | 2017-06-22 |
| 1194254706 | Emily Lohmeyer | Student in an Organized Health Care Education/Training Program | 1501 Fruitvale Avenue, Oakland, CA 94601 | 2017-06-07 |
| 1124551494 | Emily Chana Wolfe-roubatis | Midwife | 1450 Fruitvale Ave Fl 3, Oakland, CA 94601 | 2017-04-04 |
| 1417327776 | Ninfa M. Gutierrez | Counselor | 3124 International Blvd., Oakland, CA 94601 | 2015-09-30 |
| 1942600424 | Reliable Care Express, Inc. | Non-emergency Medical Transport (VAN) | 828 27th Ave, Oakland, CA 94601 | 2014-09-03 |
| Find all providers in zip 94601 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777386 | Jonathan Josue Grijalva | Nurse Practitioner | 1909 White Feather Loop, Oakland, FL 34787-8127 | 2020-10-14 |
| 1790313047 | Macy Sun | Nurse Practitioner | 1806 9th Ave, Oakland, CA 94606-3020 | 2020-03-31 |
| 1073157756 | Theola J Rivera | Nurse Practitioner | 889 Wynstone Cir N, Oakland, MI 48363-1605 | 2019-11-05 |
| 1326692211 | Shanna Lee | Nurse Practitioner | 35 Buena Vista Pl, Oakland, CA 94618-2132 | 2019-07-29 |
| 1184287682 | Kristine Dionne Williams | Nurse Practitioner | 3847 Rhoda Ave, Oakland, CA 94602-3322 | 2019-04-19 |
| 1346702404 | Whitney Karr | Nurse Practitioner | 65 Thousand Oaks St, Oakland, CA 94605-4618 | 2019-04-05 |
| 1982104360 | Brandi Sue Paugh | Nurse Practitioner | 241 N 4th St, Oakland, MD 21550-1375 | 2018-02-13 |
| 1164930533 | Brookside Health & Wellness LLC | Nurse Practitioner | 6500 Thayer Center, Oakland, MD 21550-1116 | 2018-01-18 |
| 1356870315 | Ayelet Cohen | Nurse Practitioner | 333 Park View Ter Apt 2, Oakland, CA 94610-4646 | 2017-06-05 |
| 1679014534 | Priscilla Beach Brown | Nurse Practitioner | 138 Monte Cresta Ave Apt 206, Oakland, CA 94611-4805 | 2017-03-12 |
| Find all providers in OAKLAND | ||||
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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.