DR. JACKSON W WONG (NPI# 1356542146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356542146 |
| Entity Type | Individual |
| Full Name | DR. JACKSON W WONG |
| Credential | DO |
| Practice Address |
7650 Newcastle Rd Stockton CA 95215-9663 |
| Mailing Address |
9241 Beach Haven Ct Elk Grove CA 95758-7611 |
| Practice Telephone | 2099446343 |
| Mailing Telephone | 9166842098 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20A5478 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699270413 | Jackson Wong | Psychiatry & Neurology | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2018-03-25 |
| 1568427813 | Jackson Wong | Pediatrics | 1600 S Andrews Ave, Ft Lauderdale, FL 33316-2510 | 2006-04-19 |
| Street Address |
7650 NEWCASTLE RD |
| City | STOCKTON |
| State | CA |
| Zip Code | 95215-9663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639388325 | Shien Chang Tseng | Internal Medicine | 7650 Newcastle Rd, Stockton, CA 95215-9663 | 2007-05-21 |
| 1306266473 | Mohit Dua | Psychologist | 7650 Newcastle Rd, Stockton, CA 95215-9663 | 2014-04-16 |
| 1346667367 | Northern California Youth Center | Case Management | 7650 Newcastle Rd, Stockton, CA 95215-9663 | 2014-03-27 |
| 1144647967 | Kelley Franceschi | Psychologist | 7650 Newcastle Rd, Stockton, CA 95215-9663 | 2014-03-19 |
| 1952746091 | Ramona L. Beresford-howe | Psychologist | 7650 Newcastle Rd, Stockton, CA 95215-9663 | 2013-05-02 |
| 1487995130 | Gina M Pallotta | Psychologist | 7650 Newcastle Rd, Stockton, CA 95215-9663 | 2013-03-05 |
| 1508127994 | Yi-chun Hsu | Psychologist | 7650 Newcastle Rd, Stockton, CA 95215-9663 | 2012-06-03 |
| 1801105176 | Victor John Cattolico | Psychologist | 7650 Newcastle Rd, Stockton, CA 95215-9663 | 2010-10-04 |
| 1528373537 | Fong Lai | Family Medicine | 7650 Newcastle Rd, Stockton, CA 95215-9663 | 2010-08-13 |
| 1831401579 | Alyxandra L Jennings | Psychologist | 7650 Newcastle Rd, Stockton, CA 95215-9663 | 2010-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023566098 | U.S. Healthworks Medical Group, PC | Preventive Medicine | 3663 E Arch Rd, Suite 400, Stockton, CA 95215 | 2016-09-19 |
| 1518392067 | Thuy Nhut Nguyen | Pharmacist | 7707 S Austin Rd, Stockton, CA 95215 | 2013-09-03 |
| 1154760270 | Stephanie Skewes | Psychologist | 7707 S Austin Road, Department of State Hospitals-stockton, Stockton, CA 95215 | 2013-06-21 |
| 1053750398 | Steven Cartwright | Psychologist | 7707 S. Austin Road, Department of State Hospitals-stockton, Stockton, CA 95215 | 2013-06-20 |
| 1447520465 | James E Telander | Psychologist | 7650 S. Newcastle Rd., Stockton, CA 95215 | 2012-01-06 |
| 1568479806 | John Carl Molthen | Chiropractor | 4795 E State Route 88, Stockton, CA 95215 | 2006-08-01 |
| 1932735420 | Corrections and Rehabilitation | Pharmacy | 7707 South Austin Road, Room 123, Stockton, CA 95215 | 2020-03-17 |
| 1154471779 | Natalie Collette Farnsworth | Psychologist | 7707 Austin Rd, Stockton, CA 95215 | 2007-01-12 |
| 1972101681 | Mersadez Oller | Behavior Technician | 4815 Joseph Leon Ln, Stockton, CA 95215-1153 | 2020-10-14 |
| 1477809929 | Milagros Moreno Mcarthur | Licensed Psychiatric Technician | 10834 Copperopolis Rd, Stockton, CA 95215-1741 | 2012-08-01 |
| Find all providers in zip 95215 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669081337 | Jagjiwan Kaur Dhatt | Family Medicine | 2426 Swainsons Hawk St, Stockton, CA 95209-4281 | 2020-07-28 |
| 1114167764 | Harshjit Singh | Family Medicine | 7373 West Ln Ste 360, Stockton, CA 95210-3377 | 2009-02-23 |
| 1598928822 | Samira Chaudhry Jahangiri | Family Medicine | 3132 W. March Ln, Stockton, CA 95219 | 2008-07-07 |
| 1316116890 | Rami Georgies | Family Medicine | 8001 Lorraine Ave, Stockton, CA 95210 | 2008-02-28 |
| 1245443654 | Kulendu Ghanshyam Vasavda | Family Medicine | 221 Tuxedo Ct, Suite C, Stockton, CA 95204-5261 | 2007-05-08 |
| 1306990015 | Sierra Occupational Services | Family Medicine | 1429 W Fremont St, Stockton, CA 95203-2627 | 2007-01-22 |
| 1720136138 | Elvis Akpene Tanson | Family Medicine | 4873 West Ln Ste A, Stockton, CA 95210-4548 | 2007-01-08 |
| 1679660088 | Timothy L. H. Yeh | Family Medicine | 1801 E March Ln Ste D460, Stockton, CA 95210-6629 | 2006-10-06 |
| 1386730737 | Timothy Mccarty Coats | Family Medicine | 545 E Cleveland St Ste A, Stockton, CA 95204-5535 | 2006-10-05 |
| 1598876716 | San Tso | Family Medicine | 77 W March Ln, Suite A, Stockton, CA 95207-5723 | 2006-08-31 |
| Find all providers in STOCKTON | ||||
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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.