Andrew Wong (NPI# 1891911202, PAC ID# 5890831432) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1891911202 |
| PAC ID by PECOS | 5890831432 |
| Professional Enrollment ID | I20091012000454 |
| Full Name | Andrew Wong |
| Organization Legal Name | SAN BERNARDINO MEDICAL ORTHOPEDIC GROUP INC |
| Address |
1901 W Lugonia Ave Suite 120 130 Redlands CA 92374-9703 |
| Phone Number | 9095571600 |
| Gender | M |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 2003 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Secondary Specialties | HAND SURGERY |
| Group Practice PAC ID | 9335045228 |
| Number of Group Practice Members | 74 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050129 | ST BERNARDINE MEDICAL CENTER |
| 050245 | ARROWHEAD REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1901 W Lugonia Ave, Suite 120 130, Redlands, CA 92374-9703 | 9095571600 | SAN BERNARDINO MEDICAL ORTHOPEDIC GROUP INC |
| 4234 Riverwalk Pkwy, Suite 200, Riverside, CA 92505-3312 | 9519772500 | SAN BERNARDINO MEDICAL ORTHOPEDIC GROUP INC |
| Organization Legal Name | SAN BERNARDINO MEDICAL ORTHOPEDIC GROUP INC |
| Physicians | 82 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pablo A Ruano | Physical Therapy | San Bernardino Medical Orthopedic Group Inc | 3889 W Stetson Ave, 150 Arrowhead Orthopaedics, Hemet, CA 92545-9682 |
| Roy J Caputo | Orthopedic Surgery | San Bernardino Medical Orthopedic Group Inc | 1901 W Lugonia Ave, Redlands, CA 92374-9703 |
| Lawrence Reginald Walker | Orthopedic Surgery | San Bernardino Medical Orthopedic Group Inc | 29099 Hospital Rd, Suite 114, Lake Arrowhead, CA 92352 |
| Milton K Mudge | Orthopedic Surgery | San Bernardino Medical Orthopedic Group Inc | 400 N Pepper Ave, Arrowhead, Colton, CA 92324-1801 |
| Bassam Z Hannaway | Physical Therapy | San Bernardino Medical Orthopedic Group Inc | 15325 Fairfield Ranch Rd, Suite 150, Chino Hills, CA 91709-8842 |
| Luis A Escamilla | Physical Therapy | San Bernardino Medical Orthopedic Group Inc | 4234 Riverwalk Pkwy, Suite 200, Riverside, CA 92505-3312 |
| Jonathan L Allen | Orthopedic Surgery | San Bernardino Medical Orthopedic Group Inc | 400 N Pepper Ave, Arrowhead, Colton, CA 92324-1801 |
| Nicholas R Kasischke | Physical Therapy | San Bernardino Medical Orthopedic Group Inc | 1901 W Lugonia Ave, Redlands, CA 92374-9703 |
| Andrew Vincent Rives | Physician Assistant | San Bernardino Medical Orthopedic Group Inc | 1901 W Lugonia Ave, Redlands, CA 92374-9703 |
| Blake E Christensen | Occupational Therapy | San Bernardino Medical Orthopedic Group Inc | 1901 W Lugonia Ave, Suite 120 130, Redlands, CA 92374-9703 |
| Street Address |
1901 W LUGONIA AVE SUITE 120 130 |
| City | REDLANDS |
| State | CA |
| Zip | 92374-9703 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roy J Caputo | Orthopedic Surgery | San Bernardino Medical Orthopedic Group Inc | 1901 W Lugonia Ave, Redlands, CA 92374-9703 |
| Nicholas R Kasischke | Physical Therapy | San Bernardino Medical Orthopedic Group Inc | 1901 W Lugonia Ave, Redlands, CA 92374-9703 |
| Andrew Vincent Rives | Physician Assistant | San Bernardino Medical Orthopedic Group Inc | 1901 W Lugonia Ave, Redlands, CA 92374-9703 |
| Blake E Christensen | Occupational Therapy | San Bernardino Medical Orthopedic Group Inc | 1901 W Lugonia Ave, Suite 120 130, Redlands, CA 92374-9703 |
| Harold T Neuendorff | Occupational Therapy | San Bernardino Medical Orthopedic Group Inc | 1901 W Lugonia Ave, Redlands, CA 92374-9703 |
| Todd C Churchill | Occupational Therapy | San Bernardino Medical Orthopedic Group Inc | 1901 W Lugonia Ave, Suite 120 130, Redlands, CA 92374-9703 |
| Anirudh Kadambi | Physical Medicine and Rehabilitation | San Bernardino Medical Orthopedic Group Inc | 1901 W Lugonia Ave, Suite 120 130, Redlands, CA 92374-9703 |
| John W Skubic | Orthopedic Surgery | San Bernardino Medical Orthopedic Group Inc | 1901 W Lugonia Ave, Suite 120 130, Redlands, CA 92374-9703 |
| Brooke D Jensen | Occupational Therapy | San Bernardino Medical Orthopedic Group Inc | 1901 W Lugonia Ave, Redlands, CA 92374-9703 |
| Daniel Jonathan Patton | Orthopedic Surgery | San Bernardino Medical Orthopedic Group Inc | 1901 W Lugonia Ave, Suite 120 130, Redlands, CA 92374-9703 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy Fernando | Pediatric Medicine | Faculty Physicians and Surgeons of Llusm | 1895 Orange Tree Ln, Redlands, CA 92374-0112 |
| Eric K Chin | Ophthalmology | Retina Consultants of Southern Cal Medical Associates Inc | 1895 Orange Tree Ln, Suite 204, Redlands, CA 92374-0113 |
| John P Carlson | Ophthalmology | Retina Consultants of Southern Cal Medical Associates Inc | 1895 Orange Tree Ln, Suite 204, Redlands, CA 92374-0113 |
| Richard D Pesavento | Ophthalmology | Retina Consultants of Southern Cal Medical Associates Inc | 1895 Orange Tree Ln, Suite 204, Redlands, CA 92374-0113 |
| Kauai N Kennedy-eto | Family Medicine | Mommy and Me Medical Group Inc | 1711 N Orange St, Redlands, CA 92374-2254 |
| Myung Jin Kim | Physical Therapy | Total Care Physical Therapy Inc | 1323 W Colton Ave, Suite 105, Redlands, CA 92374-2853 |
| Edward Frank Castro | Physical Therapy | 1752 Orange Tree Ln, Redlands, CA 92374-2856 | |
| Rita M Awender | Chiropractic | 1746 Orange Tree Ln, Redlands, CA 92374-2856 | |
| Rayed Fayed Sahawneh | Chiropractic | 1460 Industrial Park Ave, Redlands, CA 92374-2892 | |
| Carolyn Md Doherty | Otolaryngology | Andrew S Florea Md Inc | 1174 Nevada St, Suite 100, Redlands, CA 92374-2893 |
| Find all physicians in zip 92374 | |||
| City | REDLANDS |
| Zip Code | 92374 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | REDLANDS + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Andrew Wong.
| 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.