Deanna M Wong Wan (NPI# 1104975580, PAC ID# 5890743686) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1104975580 |
| PAC ID by PECOS | 5890743686 |
| Professional Enrollment ID | I20050107000900 |
| Full Name | Deanna M Wong Wan |
| Organization Legal Name | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Address |
7060 Clairemont Mesa Blvd San Diego CA 92111-1003 |
| Phone Number | 6195285000 |
| Gender | F |
| Credential | OD |
| Graduation Year | 1996 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 6002729175 |
| Number of Group Practice Members | 7666 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4405 Vandever Ave, San Diego, CA 92120-3315 | 6195166606 | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| 4647 Zion Ave, San Diego, CA 92120-2507 | 6195285000 | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 | 6195285000 | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Organization Legal Name | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Physicians | 10172 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chengjie Zheng | Ophthalmology | Southern California Permanente Medical Group | 9449 Imperial Hwy, Downey, CA 90242-2814 |
| Dong Joo Kim | Dermatology | Southern California Permanente Medical Group | 3401 S Harbor Blvd, Santa Ana, CA 92704-7933 |
| Terese S Bergheim | Dermatology | Southern California Permanente Medical Group | 12100 Euclid St, Garden Grove, CA 92840-3304 |
| Nabeel Rashid Hameed | Family Medicine | Southern California Permanente Medical Group | 4949 Market St, Ventura, CA 93003-7851 |
| Linda Marie Silver | Clinical Social Worker | Southern California Permanente Medical Group | 2081 Palos Verdes N Dr, Lomita, CA 90717-3701 |
| Erik James Ryo Murata | Physical Therapy | Southern California Permanente Medical Group | 411 N Lakeview Ave, Anaheim, CA 92807-3028 |
| Natasha D Irving | Obstetrics/gynecology | Southern California Permanente Medical Group | 1200 Discovery Dr, Bakersfield, CA 93309-7032 |
| May Sanguanlosit | Optometry | Southern California Permanente Medical Group | 27201 Tourney Rd, Santa Clarita, CA 91355-1854 |
| Neepa Shah | Ophthalmology | Southern California Permanente Medical Group | 75036 Gerald Ford Dr, Palm Desert, CA 92211-2080 |
| Gabrielle E Brown | Dermatology | Southern California Permanente Medical Group | 18600 S Figueroa St, Gardena, CA 90248-4505 |
| Street Address |
7060 CLAIREMONT MESA BLVD |
| City | SAN DIEGO |
| State | CA |
| Zip | 92111-1003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Francesca D Adriano | Family Medicine | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
| Peter T Hum | Internal Medicine | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
| Eric M Macy | Allergy/immunology | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
| Elisa S Ng | Internal Medicine | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
| Maryam A Rahimi | Family Medicine | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
| Carolyn E Snarskis | Family Medicine | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
| Nashwa Aziz-butler | Family Medicine | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
| Flavia Oprea | Family Medicine | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
| Michael Schatz | Allergy/immunology | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
| Gevork Mosesi | Family Medicine | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sally O'leary-beck | Family Medicine | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
| Amir Mohamed | Family Medicine | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
| Sharon U Stinis | Family Medicine | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
| Anne M Devine | Optometry | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
| Yuan Zhong | Internal Medicine | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
| Mary-hang K Tran | Family Medicine | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
| Katherine Balazy | Family Medicine | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
| Sherwin Q Gallardo | Family Medicine | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
| Raymond A Berdugo | Family Medicine | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
| Kevin Y Tse | Allergy/immunology | Southern California Permanente Medical Group | 7060 Clairemont Mesa Blvd, San Diego, CA 92111-1003 |
| Find all physicians in zip 92111 | |||
| City | SAN DIEGO |
| Zip Code | 92111 |
| Specialty | OPTOMETRY |
| City + Specialty | SAN DIEGO + OPTOMETRY |
Please comment or provide details below to improve the information on Deanna M Wong Wan.
| 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.