JANE P WONG (NPI# 1295917342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295917342 |
| Entity Type | Individual |
| Full Name | JANE P WONG |
| Credential | PA-C |
| Practice Address |
400 N. Pepper Ave Surgery Dept 6th Floor Colton CA 92324 |
| Mailing Address |
1241e Dyer Rd Santa Ana CA 92705-5611 |
| Practice Telephone | 9095806210 |
| Practice Fax Number | 9095801363 |
| Mailing Telephone | 7149784532 |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2015-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA19420 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA19420 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA19420 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0079700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316566185 | Jane Wong | Student in an Organized Health Care Education/Training Program | Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 | 2020-04-13 |
| 1639429038 | Jane Jing-yee Wong | Pharmacist | 130 W Kingsbridge Rd, Pharmacy (119), Bronx, NY 10468-3904 | 2012-09-12 |
| 1942560891 | Jane E. Wong | Counselor | 75 Seminary Hill Rd, Carmel, NY 10512-1921 | 2012-05-25 |
| 1063627131 | Jane Y Wong | Licensed Psychiatric Technician | 101 Jose Figueres Ave, San Jose, CA 95116-2022 | 2007-05-11 |
| 1013036938 | Jane Wong | Rehabilitation Practitioner | 9353 Valley Blvd, Rosemead, CA 91770-1934 | 2007-03-29 |
| 1851376537 | Jane Y Wong | Pharmacist | 1115 13th St, Snohomish, WA 98290-2012 | 2005-12-14 |
| Street Address |
400 N. PEPPER AVE SURGERY DEPT 6TH FLOOR |
| City | COLTON |
| State | CA |
| Zip Code | 92324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952504508 | Armc Csu | Clinic/Center | 400 N. Pepper Ave, Colton, CA 92324 | 2007-06-08 |
| 1609495621 | Jennifer Reyes Lin | Student in an Organized Health Care Education/Training Program | 400 N. Pepper Ave, Mob Ste 107, Colton, CA 92324 | 2020-04-09 |
| 1154649010 | Geesnell Lim | Family Medicine | 400 N. Pepper Ave, Armc Dept. of Family Medicine, Colton, CA 92324 | 2010-05-17 |
| 1306031448 | Jeanette Wong Shibata | Physician Assistant | 400 N. Pepper Ave, Colton, CA 92324 | 2007-09-12 |
| 1255531687 | Mailan Dinh Pham | Psychiatry & Neurology | 400 N. Pepper Ave, Armc Behavioral Health, Colton, CA 92324 | 2007-07-24 |
| 1265637524 | County of San Bernardino | Clinic/Center | 400 N. Pepper Ave, Colton, CA 92324 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1326685488 | Allstar Medical Respite and Recuperative Care | Case Management | 450 N Sperry Drive, Colton, CA 92324 | 2019-12-06 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326692633 | Kadi Lyn Pearce | Licensed Practical Nurse | 970 N. Latham St, Colton, CA 92324 | 2019-07-25 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1528540952 | Daniel Tochukwu Umah-mgborogwu | Physician Assistant | 400 N Pepper Ave, Ste 107, Coton, CA 92324 | 2018-09-01 |
| 1255826038 | Cal Med Vascular Center LLC | Clinic/Center | 1281 W C St, Colton, CA 92324 | 2018-06-25 |
| 1891288072 | A. Arroyo Lourenco Dds, Inc | Dentist | 827 W Valley Blvd., Colton, CA 92324 | 2018-06-12 |
| 1700396165 | Emily Covington | Registered Nurse | 1550 E. Washington St., Ste 101, Colton, CA 92324 | 2017-10-11 |
| Find all providers in zip 92324 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176475 | Samantha Baltazar | Physician Assistant | 2255 Cahuilla St Apt 56, Colton, CA 92324-4742 | 2020-08-28 |
| 1669005054 | Pollyanna Wong | Physician Assistant | 900 E Washington St Ste 301, Colton, CA 92324-8182 | 2020-02-13 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1689136749 | Dinusha Indra Bandaranayake | Physician Assistant | 400 N Pepper Ave Ste 2m206, Colton, CA 92324-1801 | 2019-04-05 |
| 1659801975 | Mikell Angela Schlumpf | Physician Assistant | 400 N Pepper Ave Ste 2mob206, Colton, CA 92324-1801 | 2017-06-19 |
| 1942604236 | Ernest Newton | Physician Assistant | 400 N Pepper Ave, Suite 107, Colton, CA 92324 | 2014-10-15 |
| 1124430145 | Daniela Casas | Physician Assistant | 400 N Pepper Ave Ste M206, Colton, CA 92324-1801 | 2014-05-25 |
| 1275966095 | Peter Dumas | Physician Assistant | 400 N Pepper Ave Ste 1m107, Colton, CA 92324-1801 | 2013-08-15 |
| 1689912230 | Marco Serrano | Physician Assistant | 1306 Highland Ave, Colton, CA 92324-2415 | 2013-01-16 |
| 1063582435 | Stephanie Lynn Morales | Physician Assistant | 400 N Pepper Ave., Colton, CA 92324 | 2006-11-09 |
| Find all providers in COLTON | ||||
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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.