Granger B Wong


Address: 576 N Sunrise Ave, 120 Centre for Plastic Surgery, Roseville, CA 95661-2846

Granger B Wong (NPI# 1225013790, PAC ID# 2567559743) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.

Physician Overview

Nation Provider ID (NPI) 1225013790
PAC ID by PECOS 2567559743
Professional Enrollment ID I20071105000405
Full Name Granger B Wong
Address 576 N Sunrise Ave
120 Centre for Plastic Surgery
Roseville
CA 95661-2846
Gender M
Medical School UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year 1992
Primary Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
Secondary Specialties GENERAL SURGERY, MAXILLOFACIAL SURGERY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050599 UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER
050309 SUTTER ROSEVILLE MEDICAL CENTER

Other Locations

Address Phone Organization
1401 S Beretania St, Suite 999, Honolulu, HI 96814-1870
576 N Sunrise Ave, 120 Centre for Plastic Surgery, Roseville, CA 95661-2846
2315 Stockton Blvd, Sacramento, CA 95817-2201 REGENTS OF THE UNIV OF CA
3301 C St, Sacramento, CA 95816-3300 REGENTS OF THE UNIV OF CA

Organization Information

Office Location

Street Address 576 N SUNRISE AVE
120 CENTRE FOR PLASTIC SURGERY
City ROSEVILLE
State CA
Zip 95661-2846

Physicians in the same location

Name Specialty Organization Address
Shailaja Menon Internal Medicine 576 N Sunrise Ave, Suite 210, Roseville, CA 95661-2847
Christine Nguyen Optometry 576 N Sunrise Ave, Suite 110, Roseville, CA 95661-2846
Bertina M Hooks Internal Medicine 576 N Sunrise Ave, Suite 210, Roseville, CA 95661-2847
Jennifer Hopper Family Practice Apollo Physicans Medical Group 576 N Sunrise Ave, Suite 230a, Roseville, CA 95661-2847

Physicians in the same zip code

Name Specialty Organization Address
Reinhardt G Hilzinger Family Medicine 4 Medical Plaza Dr, Roseville, CA 95661-2815
Jasbir S Rangi Gastroenterology Capitol Gastroenterology Consultants Medical Group Inc 4 Medical Plaza Dr, Suite 205, Roseville, CA 95661-2815
Lorerky M Ramirez-moya Psychiatry Mark David Levine Md Psychiatrists Professional Corporation 1420 Rocky Ridge Dr, Roseville, CA 95661-2835
Parul W Singh Family Medicine 588 N Sunrise Ave, Suite 120, Roseville, CA 95661-2843
Khushwinder S Garcha Internal Medicine 588 N Sunrise Ave, Suite 120, Roseville, CA 95661-2843
Ila Suplizio Physical Therapy Brett Pinkney Mpt and Associates Inc. 588 N Sunrise Ave, Suite 100, Roseville, CA 95661-2843
Earnest G Manjooran Internal Medicine 588 N Sunrise Ave, Suite 120, Roseville, CA 95661-2843
Jakkidi S Reddy Internal Medicine 588 N Sunrise Ave, Suite 120, Roseville, CA 95661-2843
Lauren Renee Guajardo Optometry Gabriel Jacob Md A Medical Corporation 1524 Eureka Rd, Suite 100, Roseville, CA 95661-2850
Brian W Rothlisberger Ophthalmology Gabriel Jacob Md A Medical Corporation 1524 Eureka Rd, Suite 100, Roseville, CA 95661-2850
Find all physicians in zip 95661

Competitor

Search similar physicians

City ROSEVILLE
Zip Code 95661
Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
City + Specialty ROSEVILLE + PLASTIC AND RECONSTRUCTIVE SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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