PETER WONG (NPI# 1396805586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396805586 |
| Entity Type | Individual |
| Full Name | PETER WONG |
| Credential | MD |
| Practice Address |
10800 Magnolia Ave Riverside CA 92505-3043 |
| Practice Telephone | 9093532000 |
| Mailing Telephone | 9093532000 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2008-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
G80967 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467995241 | Peter Wong | Substance Abuse Rehabilitation Facility | 4714 Broomtail Ct, Antioch, CA 94531-9305 | 2016-11-28 |
| 1790238426 | Peter Wong | Marriage & Family Therapist | 5150 Sunrise Blvd Ste H1, Fair Oaks, CA 95628-4966 | 2016-07-29 |
| 1104229970 | Peter Wong | Pharmacist | 899 Sir Winston St, Henderson, NV 89052-4959 | 2014-10-07 |
| 1477677987 | Peter J Wong | Pharmacist | 14625 Sw Allen Blvd, Beaverton, OR 97007-3600 | 2007-03-19 |
| 1154493070 | Peter J Wong | Internal Medicine | 601 Pavonia Avenue, Suite 301, Jersey City, NJ 07306 | 2006-11-15 |
| 1992806533 | Peter S Wong | Dentist | 12715 Bel Red Rd, Ste 202, Bellene, WA 98005 | 2006-09-26 |
| 1952344509 | Peter Wong | Surgery | 2 Good Samaritan Way Ste 235, Mount Vernon, IL 62864-2476 | 2006-06-13 |
| 1811971567 | Peter J Wong | Obstetrics & Gynecology | 200 Banning Street, Suite 320, Dover, DE 19904 | 2005-12-05 |
| 1649702598 | Peter Wong | Pharmacist | 300 Pullman St Bldg G, Livermore, CA 94551-9756 | 2017-03-30 |
| 1154860849 | Peter Wong | Dentist | 18519 Devonshire St, Northridge, CA 91324 | 2017-02-15 |
| Street Address |
10800 MAGNOLIA AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92505-3043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457352783 | Patrick Joseph S Alix | Internal Medicine | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2005-08-09 |
| 1306451885 | Tina Marsina Menedjian | Pharmacist | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-09-11 |
| 1346859246 | Christina Marie Stephenson | Pharmacist | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-07-27 |
| 1669095329 | Alvin Fong | Pharmacist | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-05-28 |
| 1114555810 | Michelle Eunbi Ko | Student in an Organized Health Care Education/Training Program | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-03-29 |
| 1821625062 | Christopher Mark Bradburne | Student in an Organized Health Care Education/Training Program | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-03-26 |
| 1740817659 | Lauren Khan | Student in an Organized Health Care Education/Training Program | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-03-23 |
| 1841826781 | Jessica Sherly Gurning | Student in an Organized Health Care Education/Training Program | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-03-22 |
| 1912533852 | Robert Yousif | Student in an Organized Health Care Education/Training Program | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-03-22 |
| 1770119323 | Erika Layne | Dietitian, Registered | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205458460 | Mark Anthony Vargas | Behavioral Analyst | 94193 Flat Rock Dr Ste 220, Riverside, CA 92505 | 2020-05-11 |
| 1568099976 | Victoria Lee | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 | 2020-03-25 |
| 1588222087 | A Homecare Services, Inc | In Home Supportive Care | 4193 Flat Rock Road, Building 200 Suite 206, Riverside, CA 92505 | 2019-05-31 |
| 1609302397 | Tap Pharmacy, Inc. | Pharmacy | 4270 Riverwalk Pkwy Ste 102, Riverside, CA 92505 | 2017-05-02 |
| 1467998658 | Onofre Gascon | Behavior Technician | 11711 Collett Ave, #1614, Riverside, CA 92505 | 2017-01-11 |
| 1780038505 | Nash David Martinez | Emergency Medicine | 10800 Magnolia Ave Dept of Emergency Medicine, Kaiser Permanente Hospital, Riverside, CA 92505 | 2016-04-18 |
| 1447639901 | Jose Joel Manalese Dds Inc | Dentist | 3950 Pierce St., Suite L., Riverside, CA 92505 | 2015-05-29 |
| 1821493230 | Jean Huynh | Physician Assistant | 11725 State Ave., Suite 100, Riverside, CA 92505 | 2014-10-28 |
| 1003160649 | Elaf Farahat | Dietitian, Registered | 10800 Magnolia Avenue., Riverside, CA 92505 | 2012-11-05 |
| 1730458217 | Tammy Lynn Gilmore | Non-emergency Medical Transport (VAN) | 10770 Hole Avenue, 106, Riverside, CA 92505 | 2011-12-29 |
| Find all providers in zip 92505 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144380312 | Alice A. Chan | Radiology | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2006-12-11 |
| 1528128709 | Huan Nguyen Tran | Radiology | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2006-12-11 |
| 1588723217 | Vaishali K. Patel | Radiology | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2006-12-08 |
| 1710046370 | Annie Lee | Radiology | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2006-12-08 |
| 1083781801 | Allison S. Yee | Radiology | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2006-11-29 |
| 1356418172 | Bo Gyi | Radiology | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795881 | Valerie Rondone | Radiology | 2574 Raleigh Way, El Dorado Hills, CA 95762-6973 | 2020-09-23 |
| 1558997387 | Hope & Trust Trading LLC | Radiology | 318 W Colorado St #2, Glendale, CA 91204 | 2020-03-12 |
| 1417416124 | Adventist Health Physicians Network | Radiology | 155 Solano St Ste 101, Corning, CA 96021-3511 | 2019-03-13 |
| 1770068991 | Reham Aboughali | Radiology | 20349 Anza Ave Apt 27, Torrance, CA 90503-7410 | 2018-10-03 |
| 1962910513 | Excel Imaging Center Inc | Radiology | 13071 Brookhurst St Ste 100, Garden Grove, CA 92843-5514 | 2018-01-17 |
| 1467972315 | Radtech Services Inc | Radiology | 2826 Racine St, Simi Valley, CA 93065-2730 | 2017-06-22 |
| 1619363496 | Nathan Ashley | Radiology | 620 N Bonhill Rd, Los Angeles, CA 90049-2302 | 2015-04-08 |
| 1851709984 | Reveal Diagnostics, LLC | Radiology | 6080 Hellyer Ave, Suite 175, San Jose, CA 95138-1052 | 2014-08-01 |
| 1770912784 | William George Hayden | Radiology | 20 Ciervos Rd, Portola Valley, CA 94028-8107 | 2013-11-11 |
| 1215362942 | Reveal Diagnostics LLC | Radiology | 4217 Piedmont Avenue, Suite B, Oakland, CA 94611 | 2013-09-12 |
| Find all providers with the same taxonomy | ||||
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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.