JONATHAN M WONG (NPI# 1780926808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780926808 |
| Entity Type | Individual |
| Full Name | JONATHAN M WONG |
| Credential | M.D. |
| Practice Address |
1100 Van Ness Ave San Francisco CA 94109-6978 |
| Mailing Address |
325 Distel Cir Los Altos CA 94022-1408 |
| Practice Telephone | 4156006500 |
| Practice Fax Number | 4155587020 |
| Mailing Telephone | 4156006500 |
| Mailing Fax Number | 4155587020 |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2020-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
135101 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE MEDICAL LICENSE | 135101 | 01 |
| CA | AMERICAN BOARD OF INTERNAL MEDICINE | 1103778 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2351 Clay St Ste 380, San Francisco, CA 941151931 | 4156003954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124509427 | Jonathan Gee Hin Wong | Dentist | 7200 Hemlock Ln N Ste 105, Maple Grove, MN 55369-5587 | 2018-08-24 |
| 1538582465 | Jonathan Wong | Physical Therapist | 1210 Via Gabarda, Lafayette, CA 94549-6250 | 2014-01-29 |
| 1588903264 | Jonathan Wong | Licensed Practical Nurse | 100 Colfax Ave, Staten Island, NY 10306-3306 | 2013-01-31 |
| 1538390364 | Jonathan Calvin Wong | Pharmacist | 4150 Clement Street (119), San Francisco, CA 94121 | 2009-07-28 |
| 1225266430 | Jonathan L Wong | Dentist | 6161 Kempsville Cir Ste 345, Norfolk, VA 23502-3950 | 2009-06-25 |
| 1376702829 | Jonathan W Wong | Dentist | 41 E 8th St Apt 3206, Chicago, IL 60605-2441 | 2008-06-09 |
| 1508089335 | Jonathan S Wong | Dentist | 1190 S Victoria Ave, Suite 305, Ventura, CA 93003-6507 | 2007-04-10 |
| 1255490215 | Jonathan D Wong | Dentist | 1186 Lynnhaven Pkwy, Virginia Beach, VA 23452-4814 | 2006-12-06 |
| 1265473789 | Jonathan T Wong | Optometrist | 12420 Fm 1960 Rd W, Houston, TX 77065-4809 | 2006-06-08 |
| 1316577620 | Jonathan Jame Wong | Registered Nurse | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-01-26 |
| Street Address |
1100 VAN NESS AVE |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94109-6978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457333973 | Jason M. Dimsdale | Obstetrics & Gynecology | 1100 Van Ness Ave, San Francisco, CA 94109-6978 | 2005-11-18 |
| 1033777982 | Carla Michelle Bennett | Genetic Counselor, MS | 1100 Van Ness Ave, Fouth Floor, San Francisco, CA 94109-6920 | 2019-06-04 |
| 1346783974 | Christine Miculob Ainza | Nurse Practitioner | 1100 Van Ness Ave, San Francisco, CA 94109 | 2016-11-30 |
| 1316344674 | Jessica Robinson | Physician Assistant | 1100 Van Ness Ave, San Francisco, CA 94109-6978 | 2014-12-01 |
| 1558763250 | Stacy Fang | Obstetrics & Gynecology | 1100 Van Ness Ave, San Francisco, CA 94109 | 2014-09-24 |
| 1528478195 | Keith Castaneto | Family Medicine | 1100 Van Ness Ave, San Francisco, CA 94109-6978 | 2014-05-05 |
| 1396188181 | Shamiq Zackria | Internal Medicine | 1100 Van Ness Ave, San Francisco, CA 94109-6978 | 2013-04-10 |
| 1619217601 | Katie E Fields | Physician Assistant | 1100 Van Ness Ave, San Francisco, CA 94109-6978 | 2013-02-27 |
| 1144568239 | Lorelei Elaine Labarge | Nurse Practitioner | 1100 Van Ness Ave, San Francisco, CA 94109-6978 | 2013-01-23 |
| 1134474893 | Kien W Chou | Acupuncturist | 1100 Van Ness Ave, San Francisco, CA 94109-6978 | 2012-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169738 | Emmapreet Bal | Social Worker | 750 Post Street, San Francisco, CA 94109 | 2020-09-21 |
| 1801414669 | Hegla Yakeline Fielding | Registered Nurse | Felton Institute, 1500 Franklin St, San Francisco, CA 94109 | 2020-07-08 |
| 1356991350 | Rachel Sit Wong | Technician | 1280 Ellis St. Apt. 12, San Francisco, CA 94109 | 2019-09-12 |
| 1396392502 | Laura Kathryn Strader | Student in an Organized Health Care Education/Training Program | Community Youth Center, 1038 Post Street, San Francisco, CA 94109 | 2019-08-22 |
| 1821650227 | Anita Kathleen O'shea | Community Health Worker | 730 Polk St 4th Floor, San Francisco, CA 94109 | 2019-07-05 |
| 1275015638 | Quenna G Lee | Occupational Therapist | 1948 California Street, San Francisco, CA 94109 | 2018-09-02 |
| 1659857340 | Kaihan Zhong | Marriage & Family Therapist | 1038 Post Street Community Youth Center, San Francisco, CA 94109 | 2018-07-16 |
| 1144716044 | Elaina Barulic | Marriage & Family Therapist | 2040 Gough St, San Francisco, CA 94109 | 2018-07-03 |
| 1447778048 | Yltze Pamela Cubas-moody | Dentist | 2107 Vanness Ave, San Francisco, CA 94109 | 2017-09-03 |
| 1063939387 | Ritu Sen | Counselor | 815 Hyde Street, Suite 100, San Francisco, CA 94109 | 2017-08-28 |
| Find all providers in zip 94109 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427487149 | Philip T Sager | Internal Medicine | 719 Carolina St, San Francisco, CA 94107-2701 | 2013-11-04 |
| 1720377146 | Mandar A. Aras | Internal Medicine | Ucsf Division of Cardiology, 505 Parnassus Ave. Rm M1184, San Francisco, CA 94143-0124 | 2011-04-06 |
| 1295044808 | Yu Xie | Internal Medicine | 1100 Van Ness Ave Fl 35, San Francisco, CA 94109-6920 | 2010-09-29 |
| 1457581332 | Keith Cohn | Internal Medicine | 230 San Marcos Ave, San Francisco, CA 94116-1945 | 2009-07-25 |
| 1356575724 | Nicole Elizabeth Harkin | Internal Medicine | 2021 Fillmore St # 51, San Francisco, CA 94115-2708 | 2009-05-13 |
| 1407055296 | Dhruv Satish Kazi | Internal Medicine | 1001 Potrero Ave Rm 5g1, San Francisco, CA 94110 | 2007-07-12 |
| 1972728855 | Susan Merrill Begelman | Internal Medicine | 388 Beale St, Apt 808, San Francisco, CA 94105-4401 | 2007-04-16 |
| 1477622488 | Neil Carson Chi | Internal Medicine | 505 Parnassus Ave # 0124, San Francisco, CA 94143-2204 | 2006-11-06 |
| 1427136027 | Belinda Ng | Internal Medicine | 2 Townsend St Apt 2-1101, San Francisco, CA 94107-2065 | 2006-11-01 |
| 1578647822 | Andrew John Boyle | Internal Medicine | Ucsf Medical Center, Division of Cardiology, 505 Parnassus Ave, Box 0124, San Francisco, CA 94143-0214 | 2006-10-24 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94109 |
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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.