MONITA WONG (NPI# 1386141257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386141257 |
Entity Type | Individual |
Full Name | MONITA WONG |
Credential | DMD |
Practice Address |
1860 Alcatraz Ave Berkeley CA 94703-2715 |
Mailing Address |
53 Davis Rd Orinda CA 94563-3002 |
Practice Telephone | 5106538500 |
Mailing Telephone | 5107175612 |
Enumeration Date | 2018-04-09 |
Last Update Date | 2020-08-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
DDS104628 | CA | Dental Providers |
N | 1223G0001X |
Dentist Specialization: General Practice |
D010376 | AZ | Dental Providers |
Street Address |
1860 ALCATRAZ AVE |
City | BERKELEY |
State | CA |
Zip Code | 94703-2715 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013913300 | Lifelong Medical Care | Dentist | 1860 Alcatraz Ave, Berkeley, CA 94703-2715 | 2005-06-22 |
1063944999 | Linda Giordano Cannon | Dental Hygienist | 1860 Alcatraz Ave, Berkeley, CA 94703-2715 | 2017-03-30 |
1023487758 | James In Young Mun | Dentist | 1860 Alcatraz Ave, Berkeley, CA 94703-2715 | 2015-09-23 |
1790124808 | Mary Tran-wexler | Dentist | 1860 Alcatraz Ave, Berkeley, CA 94703-2715 | 2013-06-21 |
1215188586 | Christallyn Tan | Dentist | 1860 Alcatraz Ave, Berkeley, CA 94703-2715 | 2008-10-06 |
1265582860 | Maria Victoria Saberon Gueco | Dentist | 1860 Alcatraz Ave, Berkeley, CA 94703-2715 | 2007-01-12 |
1437215936 | John Noble | Dentist | 1860 Alcatraz Ave, Berkeley, CA 94703-2715 | 2006-12-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811553621 | Brittney Jerrilena Monique Garrett | Behavioral Analyst | 1901 Stuart St, Berkeley, CA 94703 | 2019-05-16 |
1740762178 | Maryam Jabbari Amiri | Student in an Organized Health Care Education/Training Program | 3075 Adeline Street, Suite 120, Berkeley, CA 94703 | 2018-09-01 |
1619427549 | Sigal Gafni | Occupational Therapist | 1622 Parker St. Apt. 1, Berkeley, CA 94703 | 2016-10-04 |
1750741138 | Ane Becker | Community Health Worker | 2026 Woolsey St, Berkeley, CA 94703 | 2016-02-29 |
1245697135 | Sara Dinome Teel Vargas | Chiropractor | 3286 Adeline St., Suite 9, Berkeley, CA 94703 | 2016-01-22 |
1083081608 | Olivia Debree | Nurse Practitioner | 3075 Adeline Street, Suite 280, Lifelong Medical Care, Ashby Health Center, Berkeley, CA 94703 | 2015-08-31 |
1962885988 | Caro Grosvenor | Marriage & Family Therapist | 1511 Ada Street, Berkeley, CA 94703 | 2015-07-08 |
1619378452 | Myles Malone | Counselor | 2413 Jefferson Ave., Berkeley, CA 94703 | 2014-09-11 |
1013340223 | Denise Daniel | Acupuncturist | 6222 La Salle Ave Suite B, Oakland, CA 94703 | 2013-08-12 |
1104126200 | Iramis Kouromenos | Dental Hygienist | 1721 University Ave Apt#209, Berkeley, CA 94703 | 2010-10-25 |
Find all providers in zip 94703 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578177275 | S H Hokmabadi Inc | Dentist | 3085 Telegraph Ave, Berkeley, CA 94705-2035 | 2020-09-01 |
1053961797 | Andrew Kurtz | Dentist | 1313 Gilman St # A, Berkeley, CA 94706-2431 | 2019-09-15 |
1083138820 | Peter Daniel Fredrickson | Dentist | 2999 Regent St Ste 714, Berkeley, CA 94705-2122 | 2017-08-02 |
1568747400 | S Hokmabadi Dds Inc | Dentist | 3017 Telegraph Ave Ste 300, Berkeley, CA 94705-2049 | 2011-10-11 |
1790007094 | Howard Y Endo | Dentist | 2507 Ashby Ave, Berkeley, CA 94705-2205 | 2010-02-27 |
1477781573 | Jennifer H Cho | Dentist | 2915 Telegraph Ave Ste 303, Berkeley, CA 94705-2030 | 2009-06-26 |
1386842979 | Antonio M. Bistrain | Dentist | 2426 Webster St, Berkeley, CA 94705-2016 | 2007-07-05 |
1861698813 | David Yuezhong Li | Dentist | 3031 Telegraph Ave Ste 136a, Berkeley, CA 94705-2052 | 2007-06-26 |
1053526749 | Marjan Rusta | Dentist | 1313 Gilman St Ste A, Berkeley, CA 94706-2431 | 2007-05-14 |
1508079617 | Igor B. Yudin | Dentist | 2320 Woolsey St Ste 203, Berkeley, CA 94705-1975 | 2007-05-07 |
Find all providers in BERKELEY |
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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.