DR. SPENCER B WONG (NPI# 1366848301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366848301 |
| Entity Type | Individual |
| Full Name | DR. SPENCER B WONG |
| Credential | M.D. |
| Practice Address |
4200 Farm Hill Blvd Redwood City CA 94061-1030 |
| Mailing Address |
4200 Farm Hill Blvd Redwood City CA 94061-1099 |
| Practice Telephone | 6503063309 |
| Mailing Telephone | 6503063309 |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A144035 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
4200 FARM HILL BLVD |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94061-1030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730287251 | Cindy Mak | Specialist/Technologist | 4200 Farm Hill Blvd, Redwood City, CA 94061-1030 | 2006-09-20 |
| 1588263578 | Canada College Health Center | Clinic/Center | 4200 Farm Hill Blvd, Redwood City, CA 94061-1099 | 2020-10-21 |
| 1174025480 | Andrea Michelle Smith | Family Medicine | 4200 Farm Hill Blvd, Redwood City, CA 94061-1030 | 2018-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962044933 | Klaire Marie Finlayson | Technician | 628 Iris Street, Redwood City, CA 94061 | 2019-10-11 |
| 1568010148 | Shieh and Luo Dental Group | Dentist | 801 Woodside Rd #3, Suite #3, Redwood City, CA 94061 | 2019-08-28 |
| 1518433432 | Jacqueline Tumalan | Lactation Consultant, Non-RN | 267 Vera Avenue, Redwood City, CA 94061 | 2018-10-18 |
| 1508242314 | Althea Rogers | Registered Nurse | 1695 Hampton Ave, Redwood City, CA 94061 | 2015-08-04 |
| 1073881975 | Rebecca Lynn Cordero | Marriage & Family Therapist | 1690 Woodside Road, Suite 112, Redwood City, CA 94061 | 2011-12-06 |
| 1720362379 | Brendan James Murray | Counselor | 1614 Hudson St #203, Redwood City, CA 94061 | 2011-09-30 |
| 1770800245 | Gerald Cera | Internal Medicine | 1011 Whitehall Ln., Redwood City, CA 94061 | 2010-04-23 |
| 1144407743 | Pamela Burford | Case Manager/Care Coordinator | 2648 International Bld, Oakland, CA 94061 | 2008-01-25 |
| 1235347634 | Charles Robert Carter | Dentist | 1391 Woodside Rd Suite 210, Redwood City, CA 94061 | 2007-05-18 |
| 1255437521 | Doreen Weissman Landes | Marriage & Family Therapist | 61 Renato Court, Suite 20, Redwood City, CA 94061 | 2006-09-15 |
| Find all providers in zip 94061 | ||||
| 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 |
|---|---|---|---|---|
| 1114149002 | Jason M Wong | Family Medicine | 114 5th Avenue, Redwood City, CA 94063 | 2007-05-02 |
| 1275692048 | Anup Mahesh Desai | Family Medicine | 272 Upland Rd, Redwood City, CA 94062-2757 | 2006-12-07 |
| 1497857999 | Mark M Lessner | Family Medicine | 968-r Woodside Rd, Redwood City, CA 94061 | 2006-09-04 |
| 1932125135 | Gurpreet Kaur Padam | Family Medicine | 900 Veterans Blvd, Suite 300, Redwood City, CA 94063-1715 | 2006-07-14 |
| 1548299027 | Peter J Bullock | Family Medicine | 143 Birch St, Redwood City, CA 94062-1306 | 2006-06-30 |
| 1174137186 | Whitney L Weyhing | Family Medicine | 450 Broadway St, Redwood City, CA 94063-3132 | 2020-09-07 |
| 1174025480 | Andrea Michelle Smith | Family Medicine | 4200 Farm Hill Blvd, Redwood City, CA 94061-1030 | 2018-03-02 |
| 1821524711 | Donna Marie Tambot Veridiano | Family Medicine | 900 Veterans Blvd Ste 150, Redwood City, CA 94063-1741 | 2017-05-11 |
| 1487001061 | Brandon Flores | Family Medicine | 450 Broadway St Fl 2, Redwood City, CA 94063-3132 | 2016-05-24 |
| 1942575998 | Alka Mithal | Family Medicine | 114 5th Ave, Redwood City, CA 94063-3604 | 2012-03-08 |
| Find all providers in REDWOOD CITY | ||||
| City | REDWOOD CITY |
| Zip Code | 94061 |
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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.