MARK L. WONG (NPI# 1316067507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316067507 |
| Entity Type | Individual |
| Full Name | MARK L. WONG |
| Credential | DC, QME |
| Practice Address |
1100 S El Camino Real San Mateo CA 94402-2804 |
| Practice Telephone | 6503157711 |
| Mailing Telephone | 6503157711 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC 26327 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689134405 | Mark Wong | Behavior Technician | 16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417 | 2019-03-20 |
| 1346658986 | Mark Wong | Pharmacist | 440 N Euclid St, Anaheim, CA 92801-5531 | 2014-07-28 |
| 1942542162 | Mark Wong | Dentist | 320 W Badillo St, Suite 201, Covina, CA 91723-1833 | 2013-03-26 |
| 1538363437 | Mark Alan Wong | Dentist | 2991 Treat Blvd, Suite B, Concord, CA 94518-3616 | 2007-06-13 |
| 1720136724 | Mark Jeffrey Wong | Chiropractor | 3540 Grand Ave, Oakland, CA 94610-2010 | 2007-01-08 |
| 1235244989 | Mark Wong | Pharmacist | 650 E Indian School Rd, Section 119a, Phoenix, AZ 85012-1839 | 2006-08-21 |
| 1841224714 | Mark E Wong | Dentist | 6550 Fannin St, 2237, Houston, TX 77030-2717 | 2006-07-10 |
| 1821054081 | Mark Wong | Internal Medicine | 1441 N 12th St, Phoenix, AZ 85006-2837 | 2006-04-25 |
| Street Address |
1100 S EL CAMINO REAL |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94402-2804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093896557 | Laurel M. Reid | Chiropractor | 1100 S El Camino Real, San Mateo, CA 94402-2804 | 2006-10-18 |
| 1265970677 | Megan Depuy | Speech-Language Pathologist | 1100 S El Camino Real, Suite 5, San Mateo, CA 94402-2878 | 2017-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154227 | Mark Cameron Head | Non-emergency Medical Transport (VAN) | 331 Sonora Drive, San Mateo, CA 94402 | 2020-11-06 |
| 1669032868 | County of San Mateo | Clinic/Center | 222 Paul Scannell Dr., San Mateo, CA 94402 | 2019-06-19 |
| 1417443755 | Suen Leung | Counselor | 800 Edinburgh St, San Mateo, CA 94402 | 2018-07-10 |
| 1760997902 | Blue Lotus Connection | Point of Service | 1700 S Amphlett Blvd, Ste 250b, San Mateo, CA 94402 | 2017-12-11 |
| 1982122503 | Madeline Pielert | Social Worker | 1670 S. Amphlett Blvd. 115, San Mateo, CA 94402 | 2017-09-04 |
| 1629512348 | Travis Woodmansee | Marriage & Family Therapist | 419 S El Dorado St, San Mateo, CA 94402 | 2016-12-14 |
| 1669820858 | Mohan Sundareson | Pediatrics | 1638 South Grant St, San Mateo, CA 94402 | 2016-05-27 |
| 1457712572 | New Life Acupuncture Clinic | Acupuncturist | 1720 South Amphlett Blvd # 168, San Mateo, CA 94402 | 2016-03-17 |
| 1871951434 | Nanami Oba | Physical Therapy Assistant | 20 Bennigton Dr., San Mateo, CA 94402 | 2016-02-10 |
| 1780059733 | Adrianna Cimera | Behavioral Analyst | 1710 South Amphlett Blvd, Suite 314, San Mateo, CA 94402 | 2015-12-02 |
| Find all providers in zip 94402 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689284747 | Justin Lew | Chiropractor | 1670 S Amphlett Blvd Ste 214-28, San Mateo, CA 94402-2510 | 2020-08-04 |
| 1710403092 | John Luu | Chiropractor | 3153 Campus Dr, San Mateo, CA 94403 | 2017-08-17 |
| 1104363308 | Mink Chiropractic Inc | Chiropractor | 601 S B St, Suite B, San Mateo, CA 94401-4120 | 2017-01-25 |
| 1790138022 | Andrew Edmund Magsumbol | Chiropractor | 205 E 3rd Ave Ste 412, San Mateo, CA 94401-4050 | 2016-07-21 |
| 1922468610 | Margaret Spicer | Chiropractor | 177 Bovet Rd Ste 150, San Mateo, CA 94402-3117 | 2016-02-24 |
| 1265898738 | Jeannie Rose Kakizaki | Chiropractor | 826 E 4th Ave, A, San Mateo, CA 94401-3317 | 2016-01-13 |
| 1639450380 | Lindy Vaughn | Chiropractor | 2287 S El Camino Real, San Mateo, CA 94403-1808 | 2011-09-07 |
| 1578875969 | Joseph Ibe | Chiropractor | 517 South B Street, Suite B, San Mateo, CA 94401 | 2010-07-14 |
| 1245560739 | William Joseph Hroziencik | Chiropractor | 1580 Parkwood Drive, San Mateo, CA 94403-3930 | 2010-01-05 |
| 1871725499 | Shahnaz Jangi | Chiropractor | 18 N San Mateo Dr, San Mateo, CA 94401-2824 | 2009-08-14 |
| Find all providers in SAN MATEO | ||||
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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.