DERRICK B WONG (NPI# 1336277870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336277870 |
| Entity Type | Individual |
| Full Name | DERRICK B WONG |
| Credential | D.M.D |
| Practice Address |
1111 E Ocean Ave Suite 5 Lompoc CA 93436-7076 |
| Practice Telephone | 8057359200 |
| Practice Fax Number | 8057359550 |
| Mailing Telephone | 8057359200 |
| Mailing Fax Number | 8057359550 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
47433 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194941104 | Derrick Wong | Internal Medicine | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2007-04-18 |
| Street Address |
1111 E OCEAN AVE SUITE 5 |
| City | LOMPOC |
| State | CA |
| Zip Code | 93436-7076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154329621 | Robert J Reiner | Urology | 1111 E Ocean Ave, Suite 3, Lompoc, CA 93436-7076 | 2005-07-08 |
| 1558701953 | Ocean Oral & Maxillofacial Surgery | Dentist | 1111 E Ocean Ave, #9, Lompoc, CA 93436-7076 | 2013-06-28 |
| 1942573225 | Pacific Eye Surgeons | Ophthalmology | 1111 E Ocean Ave, Suite 7, Lompoc, CA 93436-7076 | 2012-02-16 |
| 1871861500 | Philip Ente Md Inc | Clinic/Center | 1111 E Ocean Ave, Lompoc, CA 93436-7076 | 2011-12-08 |
| 1992914931 | Thomas Arthur Hurd | Dentist | 1111 E Ocean Ave, Suite 11, Lompoc, CA 93436-7076 | 2007-05-22 |
| 1043425242 | Lompoc Orthopedic Medical Clinic | Orthopaedic Surgery | 1111 E Ocean Ave, Ste 1, Lompoc, CA 93436-2500 | 2007-05-11 |
| 1073644787 | Eric Andrew Pacheco | Dentist | 1111 E Ocean Ave, Suite 8, Lompoc, CA 93436-7076 | 2007-03-07 |
| 1265568364 | Cindy Blifeld | Pediatrics | 1111 E Ocean Ave, Ste 6, Lompoc, CA 93436-7076 | 2007-02-26 |
| 1891835161 | Donald Davis Blaschke | Dentist | 1111 E Ocean Ave, Suite 9, Lompoc, CA 93436-7076 | 2007-02-07 |
| 1487719894 | Lompoc Valley Pediatric Care Center | Clinic/Center | 1111 E Ocean Ave, Suite 6, Lompoc, CA 93436-7076 | 2006-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671498 | Bonnie O'brien | Technician | 4174 Sirius Avenue, Lompoc, CA 93436 | 2019-10-21 |
| 1043734056 | Stevens Life Chiropractic, PC | Chiropractor | 217-a West Central Ave, Lompoc, CA 93436 | 2017-08-01 |
| 1548621014 | Kimberly Gaynell Wiley | Home Health Aide | 610 East Pine St #34, Lompoc, CA 93436 | 2016-03-11 |
| 1386017960 | Marcos Paul Cline | Counselor | 117 North 'b' Street, Lompoc, CA 93436 | 2015-11-04 |
| 1487045324 | Angela Rose Robinson | Case Manager/Care Coordinator | 113 North H Street, Suite F, Lompoc, CA 93436 | 2015-02-13 |
| 1851795751 | Alina Staniger | Counselor | 604 W Ocean, Lompoc, CA 93436 | 2014-10-21 |
| 1154750560 | Lompoc Valley Medical Center | General Acute Care Hospital | 303 South C Street, Lompoc, CA 93436 | 2013-11-06 |
| 1598191488 | David Lewis Mcaninch Iv | Dentist | 1111 East Ocean Avenue, Suite 9, Lompoc, CA 93436 | 2013-09-24 |
| 1336407048 | Pamela Jordan | Counselor | 110 S. 'c' St. Ste. A, Family Service Agency, Lompoc, CA 93436 | 2012-05-01 |
| 1316220874 | Zillah J. Hodgkins | Counselor | 513 N G St, Lompoc, CA 93436 | 2011-09-21 |
| Find all providers in zip 93436 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578655 | Pinole Endodontics | Dentist | 2150 Appian Way Ste 207, Pinole, CA 94564-2520 | 2020-11-05 |
| 1518566702 | Sp Endodontics Partnershiop | Dentist | 1300 W Lodi Ave Ste N, Lodi, CA 95242-3038 | 2020-10-20 |
| 1215535661 | Ascella Justine Ronson | Dentist | 35395 Linda Rosea Rd, Temecula, CA 92592-9532 | 2020-10-16 |
| 1457964215 | Lars Bjorn Jonsson, D.d.s., M.s., Inc. | Dentist | 25261 Paseo De Valencia Ste 3, Laguna Hills, CA 92637-4966 | 2020-08-31 |
| 1952929333 | Noureldin Shoreibah Dds Inc | Dentist | 7677 Center Ave Ste 210, Huntington Beach, CA 92647-9103 | 2020-07-11 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1568091833 | M. Potti Dds Msd Inc | Dentist | 6400 Village Pkwy Ste 100, Dublin, CA 94568-3007 | 2020-04-07 |
| 1194356840 | Liang Dental Group Inc | Dentist | 5562 Philadelphia St Ste 211, Chino, CA 91710-2499 | 2020-01-31 |
| 1699313015 | Paul Erben Dmd Msd PC | Dentist | 937 E Main St Ste 204, Santa Maria, CA 93454-5309 | 2019-12-16 |
| 1396382495 | Narbeh Bandary Dental Corp | Dentist | 4910 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1718 | 2019-12-08 |
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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.