DR. JASON GILBERT WONG (NPI# 1750590014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750590014 |
| Entity Type | Individual |
| Full Name | DR. JASON GILBERT WONG |
| Credential | D.D.S. |
| Practice Address |
721 W Whittier Blvd Ste B La Habra CA 90631-3771 |
| Mailing Address |
721 W Whittier Blvd Ste B La Habra CA 90631-3771 |
| Practice Telephone | 3104634762 |
| Mailing Telephone | 3104634762 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2016-08-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
52132 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245705805 | Jason Frank Wong | Orthotist | 8143 Gandy Dancer Way, Sacramento, CA 95823-5928 | 2018-10-10 |
| 1871031815 | Jason Wong | Pharmacist | 82-69 Parsons Blvd, Jamaica, NY 11373 | 2017-02-10 |
| 1942645528 | Jason Wong | Dentist | 695 E Cottonwood Ln, Casa Grande, AZ 85122-2023 | 2013-05-08 |
| 1831404532 | Jason Wong | Pharmacist | 9450 Las Tunas Dr, Temple City, CA 91780-2138 | 2010-08-18 |
| 1952541229 | Jason Wong | Physical Therapist | 1540 2nd St Ste A, Santa Monica, CA 90401-2303 | 2009-02-26 |
| 1114149002 | Jason M Wong | Family Medicine | 114 5th Avenue, Redwood City, CA 94063 | 2007-05-02 |
| 1821052242 | Jason H Wong | Specialist | 3711 Pacific Ave, Ste. 200, Tacoma, WA 98418-7800 | 2006-04-13 |
| 1376170449 | Jason Patrick Wong | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Orange, CA 92868-3201 | 2020-03-26 |
| 1194363598 | Jason Soongjee Wong | Student in an Organized Health Care Education/Training Program | Ucsb Counseling and Psychological Services Building 599, Santa Barbara, CA 93106-0001 | 2019-12-16 |
| 1326607813 | Jason C Wong | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Ste 5512, West Hollywood, CA 90048-1804 | 2019-06-10 |
| Street Address |
721 W WHITTIER BLVD STE B |
| City | LA HABRA |
| State | CA |
| Zip Code | 90631-3771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174163323 | Knowledge of Autism & Other Developmental Disabilities, LLC. | Assistant Behavior Analyst | 890 Whitebook Drive, La Habra, CA 90631 | 2020-01-15 |
| 1215572417 | Anthony Alonzo Favot | Physician Assistant | 2500 Sidon Ave., La Habra, CA 90631 | 2019-11-12 |
| 1487123618 | Adrian Acosta Dds A Prof Dental Corp | Dentist | 901 W. Whittier Blvd, La Habra, CA 90631 | 2018-11-16 |
| 1669961587 | La Habra Villa, LLC | Assisted Living Facility | 1100 E.whittier Blvd, La Habra, CA 90631 | 2018-05-07 |
| 1679089767 | Alicia Igarta | Behavioral Analyst | 890 Whitebook Dr, La Habra, CA 90631 | 2017-12-27 |
| 1609386564 | Antoinette Marie Burgonio | Counselor | 820 Buena Vista Ave, La Habra, CA 90631 | 2017-10-05 |
| 1023527710 | Sharon Rose Stines | Counselor | 271 W. Imperial Hwy, Suite C, La Habra, CA 90631 | 2017-09-25 |
| 1275050999 | Ivan Andro Simunovic | Physician Assistant | 1341 Brookdale Ave., La Habra, CA 90631 | 2017-08-23 |
| 1730609645 | Lorraine Danielle Granado | Specialist/Technologist | 2301 Las Palomas Dr, La Habra Heights, CA 90631 | 2017-06-21 |
| 1649717844 | Marzieh Simonton | Nurse Practitioner | 921 Donnybrook Ave, La Habra, CA 90631 | 2017-01-25 |
| Find all providers in zip 90631 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851447650 | Daniel D Kim | Dentist | 1480 S Harbor Blvd Ste 5, La Habra, CA 90631 | 2007-01-25 |
| 1053671131 | Douglas S. Daniels, D.m.d. Inc. | Dentist | 640 E Whittier Blvd, La Habra, CA 90631-3929 | 2012-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578655 | Pinole Endodontics | Dentist | 2150 Appian Way Ste 207, Pinole, CA 94564-2520 | 2020-11-05 |
| 1518566702 | Sp Endodontics Partnershiop | Dentist | 1300 W Lodi Ave Ste N, Lodi, CA 95242-3038 | 2020-10-20 |
| 1215535661 | Ascella Justine Ronson | Dentist | 35395 Linda Rosea Rd, Temecula, CA 92592-9532 | 2020-10-16 |
| 1457964215 | Lars Bjorn Jonsson, D.d.s., M.s., Inc. | Dentist | 25261 Paseo De Valencia Ste 3, Laguna Hills, CA 92637-4966 | 2020-08-31 |
| 1952929333 | Noureldin Shoreibah Dds Inc | Dentist | 7677 Center Ave Ste 210, Huntington Beach, CA 92647-9103 | 2020-07-11 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1568091833 | M. Potti Dds Msd Inc | Dentist | 6400 Village Pkwy Ste 100, Dublin, CA 94568-3007 | 2020-04-07 |
| 1194356840 | Liang Dental Group Inc | Dentist | 5562 Philadelphia St Ste 211, Chino, CA 91710-2499 | 2020-01-31 |
| 1699313015 | Paul Erben Dmd Msd PC | Dentist | 937 E Main St Ste 204, Santa Maria, CA 93454-5309 | 2019-12-16 |
| 1396382495 | Narbeh Bandary Dental Corp | Dentist | 4910 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1718 | 2019-12-08 |
| 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.