PETER WONG (NPI# 1467995241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467995241 |
| Entity Type | Individual |
| Full Name | PETER WONG |
| Practice Address |
4714 Broomtail Ct Antioch CA 94531-9305 |
| Practice Telephone | 4158590460 |
| Mailing Telephone | 4158590460 |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | CA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1952663932 | Peter Lap Kei Wong | Obstetrics & Gynecology | 128 Mott Street Suite 501, New York, NY 10013-5041 | 2012-06-14 |
| Street Address |
4714 BROOMTAIL CT |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94531-9305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406051 | Jayden Mendoza | Behavior Technician | 4849 Lone Tree Way Suite C, Antioch, CA 94531 | 2020-10-28 |
| 1093369720 | Lorena N/a Lepezmagana I | Behavior Technician | 4856 Weler Peak Way, 4856 Wexler Peak Way, Antioch, CA 94531 | 2019-07-31 |
| 1063976538 | Donna C Martinez | Respiratory Therapist, Registered | 4509 Sand Creek Rd, Antioch, CA 94531 | 2019-01-29 |
| 1215428107 | Sierra Singharath | Behavioral Analyst | 5344 Catanzaro Way, Antioch, CA 94531 | 2018-05-25 |
| 1972005551 | Meily Samantha Reyna | Behavioral Analyst | 1858 Mount Goethe Way, Antioch, CA 94531 | 2018-02-28 |
| 1225536477 | Constance Eileen Matous | Physical Therapy Assistant | 4041 Lone Tree Way Suite # 106, Antioch, CA 94531 | 2018-01-23 |
| 1851825921 | Alexander Lim Dds Inc | Dentist | 5171 Lone Tree Way, Antioch, CA 94531 | 2017-04-17 |
| 1467831222 | Jaylan Ishac | Behavioral Analyst | 4749 Crestone Peak Ct, Antioch, CA 94531 | 2015-05-27 |
| 1164831830 | Akape Home Care Agency | Home Health | 2487 Stanford Way, Ste 1a, Antioch, CA 94531 | 2014-08-07 |
| 1679992515 | Joseph Vojtko | Ophthalmology | 4501 Sand Creek Rd Dept Of, Antioch, CA 94531 | 2014-04-08 |
| Find all providers in zip 94531 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376766238 | J Cole Recovery Homes, Inc | Substance Abuse Rehabilitation Facility | 1408 A St, Antioch, CA 94509-2331 | 2007-04-10 |
| 1720548084 | R.e.a.c.h. Project | Substance Abuse Rehabilitation Facility | 1915 D St, Antioch, CA 94509-2571 | 2019-03-22 |
| 1497215883 | R.e.a.c.h. Project | Substance Abuse Rehabilitation Facility | 1915 D St, Antioch, CA 94509-2571 | 2019-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497359 | California Care Detox & Treatment | Substance Abuse Rehabilitation Facility | 25542 Dana Mesa Dr, San Juan Capistrano, CA 92675-4311 | 2020-11-02 |
| 1952900797 | A Sacred Path | Substance Abuse Rehabilitation Facility | 5671 Spanish Flat Rd, Garden Valley, CA 95633 | 2020-10-22 |
| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1073111613 | A Place To Heal | Substance Abuse Rehabilitation Facility | 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 | 2020-10-15 |
| 1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
| 1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
| 1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
| 1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
| 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.