DR. ERIC BAO- TOAN WONG (NPI# 1245583996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245583996 |
| Entity Type | Individual |
| Full Name | DR. ERIC BAO- TOAN WONG |
| Credential | D.D.S. |
| Practice Address |
670 Las Gallinas Ave San Rafael CA 94903 |
| Mailing Address |
670 Las Gallinas Ave San Rafael CA 94903-3687 |
| Practice Telephone | 4154798166 |
| Mailing Telephone | 1547981664 |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2018-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
61921 | CA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1400 N Riverside Ave, Rialto, CA 923768053 | 9098758110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316593031 | Eric Wong | Physical Therapy Assistant | 5111 8th Ave, Brooklyn, NY 11220-2802 | 2019-08-19 |
| 1043610348 | Eric Wong | Chiropractor | 2733 Earle Ave, Rosemead, CA 91770-3228 | 2014-08-25 |
| 1871773622 | Eric Y Wong | Anesthesiology | 11300 Expo Blvd, Apt 1212, San Antonio, TX 78230-1005 | 2007-11-09 |
| 1982826426 | Eric Wong | Dentist | 1423 Irving St, San Francisco, CA 94122-2015 | 2007-05-03 |
| 1366064370 | Eric Wong | Occupational Therapist | 1340 Highland Ave, Duarte, CA 91010-2520 | 2020-05-13 |
| 1003375007 | Eric Ray Wong | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021 | 2019-03-19 |
| 1366986663 | Eric Wong | Counselor | 1650 Mission St Fl 5, San Francisco, CA 94103-2414 | 2016-12-06 |
| 1225446370 | Eric Cameron Wong | Pharmacist | 1300 Rockefeller Ave, Ste 150, Everett, WA 98201-1632 | 2014-07-31 |
| 1962821058 | Eric Alan Wong | Internal Medicine | 2701 Dekalb Pike, East Norriton, PA 19401-1820 | 2014-04-16 |
| 1699018986 | Eric Wong | Pharmacist | 1165 Arnold Dr, Martinez, CA 94553-4104 | 2013-04-04 |
| Street Address |
670 LAS GALLINAS AVE |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356437842 | Kwang Hyun Kim | Dentist | 670 Las Gallinas Ave, San Rafael, CA 94903-3687 | 2006-10-04 |
| 1831256593 | Donald John Fisher | Dentist | 670 Las Gallinas Ave, San Rafael, CA 94903-3687 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
| 1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
| 1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| Find all providers in zip 94903 | ||||
| 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 |
|---|---|---|---|---|
| 1043791890 | A Mola Dds Apc | Dentist | 1050 Northgate Dr Ste 505, San Rafael, CA 94903-2542 | 2018-08-28 |
| 1598272890 | Emma Abramyan | Dentist | 361 3rd St Ste H, San Rafael, CA 94901-3580 | 2018-01-08 |
| 1598169534 | Peter Fong | Dentist | 2 Civic Center Dr., #4429, San Rafael, CA 94913-4429 | 2014-10-20 |
| 1669802435 | Pacific Dental Group | Dentist | 1523 5th Ave, San Rafael, CA 94901-1806 | 2013-11-15 |
| 1154669190 | Chase Kotula Dental Partnership | Dentist | 4050 Redwood Hwy, Suite A, San Rafael, CA 94903-5149 | 2013-01-25 |
| 1740504059 | Peter Zahedi I | Dentist | 905 Lincoln Ave, San Rafael, CA 94901-3331 | 2010-03-16 |
| 1336378710 | Emad S. Elgendy | Dentist | 211 G St Apt 7, San Rafael, CA 94901-1834 | 2009-07-07 |
| 1184881195 | Kirby Man Yin Yee | Dentist | 912 Grand Ave Ste 101, San Rafael, CA 94901-3552 | 2008-05-19 |
| 1578777918 | Peter Fong, Dds, Inc. | Dentist | 1050 Northgate Dr Ste 139, San Rafael, CA 94903-2559 | 2007-05-09 |
| 1295955409 | Theodore Carle Schwarftz | Dentist | 630 Freitas Parkway, San Rafael, CA 94903 | 2007-04-27 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94903 |
Please comment or provide details below to improve the information on DR. ERIC BAO- TOAN WONG.
| 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.