STEPHANIE WONG (NPI# 1306379375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306379375 |
| Entity Type | Individual |
| Full Name | STEPHANIE WONG |
| Practice Address |
1425 S Main St Fl 1 Walnut Creek CA 94596-5318 |
| Practice Telephone | 9252954461 |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 62520 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730701384 | Stephanie Wong | Dentist | 5161 William Flynn Hwy Unit B, Gibsonia, PA 15044-8401 | 2020-05-16 |
| 1962050591 | Stephanie Ching Wong | Nurse Practitioner | 1735 S Public Rd Ste 203, Lafayette, CO 80026-7093 | 2019-08-27 |
| 1932677275 | Stephanie Wong | Pharmacist | 56 Wellsboro Rd, Valley Stream, NY 11580-1836 | 2018-11-05 |
| 1467944777 | Stephanie Margaret Wong | Surgery | Mcgill University Health Centre - General Surgery, 1650 Cedar Ave, L9.424, Montreal, QUEBEC H3G 1A4 | 2018-06-01 |
| 1508048364 | Stephanie Jo Dapice Wong | Physical Therapist | 53 Ocean Ave, Bay Shore, NY 11706-8756 | 2007-12-03 |
| 1164041737 | Stephanie G. Wong | Student in an Organized Health Care Education/Training Program | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2020-04-13 |
| 1851929442 | Stephanie Wong | Student in an Organized Health Care Education/Training Program | 5454 El Cajon Blvd, San Diego, CA 92115-3621 | 2020-03-30 |
| 1770045650 | Stephanie Megan Wong | Student in an Organized Health Care Education/Training Program | 751 S Bascom Ave, San Jose, CA 95128-2699 | 2019-04-01 |
| 1780140368 | Stephanie Wong | Marriage & Family Therapist | 450 Stanyan St, San Francisco, CA 94117-1019 | 2019-02-19 |
| 1538636568 | Stephanie Gar-yan Wong | Pharmacist | 4150 Clement St, San Francisco, CA 94121-1563 | 2018-10-29 |
| Street Address |
1425 S MAIN ST FL 1 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94596-5318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194873984 | Kaiser Foundation Health Plan Inc | Pharmacy | 1425 S Main St Fl 1, Walnut Creek, CA 94596-5318 | 2007-01-08 |
| 1740421593 | Chuong V Vo | Pharmacist | 1425 S Main St Fl 1, Walnut Creek, CA 94596-5318 | 2009-03-07 |
| 1003964800 | Kaiser Foundation Hospitals | Pharmacy | 1425 S Main St Fl 1, Walnut Creek, CA 94596-5318 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917229 | Alison M Khaddour | Behavior Technician | 800 S Broadway Ste. 310, Walnut Creek, CA 94596 | 2019-02-06 |
| 1134683618 | Ian Colas | Respiratory Therapist, Certified | 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 | 2019-01-29 |
| 1912474131 | Albert Dizon Miraflores | Behavior Technician | 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 | 2018-10-25 |
| 1487136834 | Daryn Stier | Social Worker | 80 Norlyn Drive, Walnut Creek, CA 94596 | 2018-09-02 |
| 1831682335 | Jessica Lim | Registered Nurse | 1357 Oakland Blvd, Walnut Creek, CA 94596 | 2018-06-08 |
| 1699278432 | Alanna Everhart | Behavior Technician | 877 Ygnacio Valley Road, Suite 100, Walnut Creek, CA 94596 | 2018-03-16 |
| 1962958108 | Derek Jue Md | Clinic/Center | 1812 San Miguel Drive, Walnut Creek, CA 94596 | 2016-08-28 |
| 1912369711 | Pamela Jean Lister | Marriage & Family Therapist | 2070 N Broadway, #5370, Walnut Creek, CA 94596 | 2016-03-22 |
| 1548635147 | Anne Lamoreaux Anderson | Behavioral Analyst | 800 South Broadway Suite #310, Walnut Creek, CA 94596 | 2015-12-08 |
| 1346619434 | Christine Anne Gotelli | Registered Nurse | 370 N. Civic Drive #311, San Francico, CA 94596 | 2015-09-18 |
| Find all providers in zip 94596 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861976680 | Darryl Minoru Nomura | Pharmacist | 1211 Durant Ct, Walnut Creek, CA 94596-6405 | 2018-09-18 |
| 1598275273 | Ming Wai Fan | Pharmacist | 112 La Casa Via Ste 100, Walnut Creek, CA 94598-3016 | 2017-10-06 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1568901692 | Edward Speck | Pharmacist | 2124 Youngs Ct, Walnut Creek, CA 94596-6320 | 2017-02-22 |
| 1669915583 | Peter David Linse | Pharmacist | 3126 Oak Rd, Apt 217, Walnut Creek, CA 94597-7710 | 2016-11-25 |
| 1740645977 | Nahla Alabbas | Pharmacist | 3101 Bowling Green Dr, Walnut Creek, CA 94598-4556 | 2015-12-14 |
| 1215311766 | Chinh Nguyen | Pharmacist | 2800 Ygnacio Valley Rd, Walnut Creek, CA 94598-3534 | 2015-07-15 |
| 1497150627 | Vivian Kong | Pharmacist | 501 Lennon Ln, Walnut Creek, CA 94598-2414 | 2014-10-30 |
| 1659772937 | Annila Qazi | Pharmacist | 1930 Oak Grove Rd, Walnut Creek, CA 94598-1607 | 2014-09-05 |
| 1144620741 | Betty Yee | Pharmacist | 2043 Strand Rd, Walnut Creek, CA 94596-5737 | 2014-09-02 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94596 |
Please comment or provide details below to improve the information on STEPHANIE 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.