DR. WADE WONG (NPI# 1972685949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972685949 |
Entity Type | Individual |
Full Name | DR. WADE WONG |
Credential | MD |
Practice Address |
9300 Campus Point Dr 7756 La Jolla CA 92037 |
Mailing Address |
9300 Campus Point Dr Mail Code 7756 La Jolla CA 92037 |
Practice Telephone | 8586576650 |
Mailing Telephone | 8586576650 |
Enumeration Date | 2006-10-19 |
Last Update Date | 2007-10-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
20A3872 | CA | Allopathic & Osteopathic Physicians |
Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
20A3872 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00AX38720 | 05 |
Street Address |
9300 CAMPUS POINT DR 7756 |
City | LA JOLLA |
State | CA |
Zip Code | 92037 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811978992 | Bonnie L Eklund | Nurse Practitioner | 9300 Campus Point Dr, Mail Code 7381, La Jolla, CA 92037-1300 | 2005-11-07 |
1386259695 | Erin Jenkins | Nurse Practitioner | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-09-14 |
1851905657 | Sophia Tang Chung | Pharmacist | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-08-31 |
1679184758 | Alexandra Salcedo | Dietitian, Registered | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-08-12 |
1982227526 | Omid Jalali | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-05-18 |
1023638269 | Daniella Klebaner | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-04-17 |
1487283958 | Marissa Robin Craig | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-04-06 |
1790313245 | Kenneth Matthew Zabel | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-03-31 |
1649808692 | Samuel Early | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-03-27 |
1619504024 | Kathryn D Leonard | Physical Therapist | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-03-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
Find all providers in zip 92037 |
Taxonomy Code | 2085N0700X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Neuroradiology |
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447679410 | Annalice Y. Chang | Radiology | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2014-04-07 |
1649441858 | Ljr Neuro Interventional Medical Group Inc | Radiology | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2008-03-14 |
1003868308 | Robert R. Varney | Radiology | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2006-05-16 |
1083665236 | Peter H.b. Mccreight | Radiology | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2006-05-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962821207 | Peyman Kangavari | Radiology | 8700 Beverly Blvd # M335, West Hollywood, CA 90048-1804 | 2014-04-15 |
1871914457 | Syrone Liu | Radiology | 1000 W. Carson St., Box 27, Torrance, CA 90509 | 2013-12-26 |
1629411061 | Arian Mashhood | Radiology | 3801 Miranda Ave Bldg 102, Palo Alto, CA 94304-1207 | 2013-04-16 |
1790049773 | Maximilian Yue Cho | Radiology | 110 W Las Tunas Dr Ste A, San Gabriel, CA 91776-1346 | 2012-06-25 |
1356604797 | Fan Yang | Radiology | 505 Parnassus Ave Rm L-371, San Francisco, CA 94143-2204 | 2012-06-20 |
1851653513 | Cynthia Marie Chan | Radiology | 300 Pasteur Dr Rm Stanford, Stanford, CA 94305-2200 | 2012-06-08 |
1346509197 | Ashkon Senaati | Radiology | 1801 W Romneya Dr Ste 104, Anaheim, CA 92801-1824 | 2012-05-15 |
1609165356 | Shota Yamamoto | Radiology | 26161 Marguerite Pkwy Ste A, Mission Viejo, CA 92692 | 2011-04-04 |
1497059976 | Kenneth W Albertson | Radiology | 845 Armada Ter, San Diego, CA 92106-3055 | 2010-12-27 |
1124331095 | Alireza Sedaghat Namini | Radiology | 27401 Los Altos Ste 180, Mission Viejo, CA 92691-8012 | 2010-07-21 |
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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.