MISS IRENE SHUK WONG (NPI# 1366516205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366516205 |
| Entity Type | Individual |
| Full Name | MISS IRENE SHUK WONG |
| Other Name | MISS SHUK L WONG |
| Credential | N.P. |
| Practice Address |
4855 Atherton Ave San Jose CA 95130 |
| Mailing Address |
12900 Park Plaza Dr Ste 150 Cerritos CA 90703-9329 |
| Practice Telephone | 8883573058 |
| Mailing Telephone | 5626222800 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2019-08-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 12816 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 795 Willow Rd, 331c, Menlo Park, CA 94025 | 6504935000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790060283 | Irene Pui Lai Wong | Pediatrics | 3020 Children's Way Mc5124, San Diego, CA 92123 | 2011-10-15 |
| 1821362344 | Irene Wong | Family Medicine | 650 Union Blvd Unit 16, Totowa, NJ 07512 | 2012-03-01 |
| 1841570132 | Irene P Wong | Registered Nurse | 14015b Sanford Ave, Flushing, NY 11355-2557 | 2011-08-18 |
| 1841590114 | Irene Joyce Wong | Dentist | 2102 N Market St, Champaign, IL 61822-1306 | 2010-11-02 |
| 1174773121 | Irene Wong | Nurse Practitioner | 5201 Raymond St, Orlando, FL 32803-8208 | 2008-09-26 |
| 1326170432 | Irene Wong | Pharmacist | 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 | 2007-03-12 |
| 1043364102 | Irene Wong | Dentist | 999 Summer St, Suite 301, Stamford, CT 06905-5546 | 2007-01-23 |
| 1457419335 | Irene L Wong | Acupuncturist | 616 N Garfield Ave, Suite 203, Monterey Park, CA 91754-1141 | 2006-12-04 |
| Street Address |
4855 ATHERTON AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790255990 | Aya Pierre | Nurse Practitioner | 4855 Atherton Ave, San Jose, CA 95130-1026 | 2018-11-29 |
| 1033566401 | Minh Tran | Chiropractor | 4855 Atherton Ave, Ste. 202, San Jose, CA 95130-1026 | 2016-05-16 |
| 1982825360 | Sharyn Higdon Jones | Marriage & Family Therapist | 4855 Atherton Ave, Suite 201, San Jose, CA 95130-1026 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316599087 | Ajay Pala | Occupational Therapist | 20400 Los Gatos-saratoga Rd, Saratoga, CA 95130 | 2019-07-12 |
| 1417489691 | Laura Silvester | Marriage & Family Therapist | 4950 Hamilton Ave Ste 102, San Jose, CA 95130 | 2017-03-28 |
| 1184806325 | Michael Hwa | Internal Medicine | 751 S. Bascom Ave., San Jose, CA 95130 | 2007-11-29 |
| 1114438074 | Gregory Paul Roumbanis | Marriage & Family Therapist | 4855 Atherton Ave Ste 201, San Jose, CA 95130-1026 | 2017-10-18 |
| 1013136423 | Julie Dutton | Nurse Practitioner | 4855 Atherton Ave Ste 101, San Jose, CA 95130-1026 | 2007-04-24 |
| 1912045840 | Scott Waddell | Chiropractor | 4855 Atherton Ave Ste 204, San Jose, CA 95130-1026 | 2007-02-02 |
| 1508423567 | Kee Jin Kwon | Nurse Practitioner | 4855 Atherton Ave Ste 101, San Jose, CA 95130-1026 | 2019-05-24 |
| 1487119525 | Sarah Gayle Sadumiano Galinato | Nurse Practitioner | 4855 Atherton Ave Ste 101, San Jose, CA 95130-1026 | 2019-02-03 |
| 1699245795 | Jim Patton | Massage Therapist | 4855 Atherton Ave Ste 204, San Jose, CA 95130-1026 | 2018-11-30 |
| 1184131039 | Pattyjo Marsette | Marriage & Family Therapist | 4855 Atherton Ave Ste 201, San Jose, CA 95130-1026 | 2018-01-01 |
| Find all providers in zip 95130 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932734365 | La K Dinh | Nurse Practitioner | 749 Story Rd Ste 20, San Jose, CA 95122-2600 | 2020-03-05 |
| 1568012144 | Mandeep Kaur Gill | Nurse Practitioner | 4735 Hamilton Ave Ste 80, San Jose, CA 95130-1769 | 2019-09-16 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1770084246 | Amisha Oza | Nurse Practitioner | 1432 W San Carlos St Ste 10, San Jose, CA 95126-5409 | 2018-02-21 |
| 1376041459 | Karina Dempsey | Nurse Practitioner | 2264 Winepol Loop, San Jose, CA 95125-6636 | 2018-01-24 |
| 1316466139 | Melinda Fike Vertin | Nurse Practitioner | 970 Glenridge Dr., San Jose, CA 95136 | 2017-09-12 |
| 1548786049 | Thai Hang Thi Tran | Nurse Practitioner | 1680 E Capitol Expy Ste 10, San Jose, CA 95121-1839 | 2017-08-16 |
| 1356862163 | Natasha Michon Ruiz | Nurse Practitioner | 2516 Samaritan Dr Ste M, San Jose, CA 95124-4108 | 2017-06-30 |
| 1598203408 | Lea Revita Lopez | Nurse Practitioner | 751 S Bascom Ave Bldg Q, Otolaryngology/head and Neck Surgery, San Jose, CA 95128-2604 | 2017-02-10 |
| 1053719492 | Marie Cardine Preval | Nurse Practitioner | 4400 The Woods Dr Apt 2033, San Jose, CA 95136-3867 | 2014-12-17 |
| Find all providers in SAN JOSE | ||||
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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.