Richard L Wong (NPI# 1275084295, PAC ID# 9830425396) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1275084295 |
| PAC ID by PECOS | 9830425396 |
| Professional Enrollment ID | I20190723000545 |
| Full Name | Richard L Wong |
| Organization Legal Name | NORTH COAST PATHOLOGY MEDICAL GROUP INC |
| Address |
4002 Vista Way Oceanside CA 92056-4506 |
| Phone Number | 7606343230 |
| Gender | M |
| Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | PATHOLOGY |
| Secondary Specialties | HEMATOLOGY |
| Group Practice PAC ID | 0840190401 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050128 | TRI-CITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4002 Vista Way, Oceanside, CA 92056-4506 | 7606343230 | NORTH COAST PATHOLOGY MEDICAL GROUP INC |
| Organization Legal Name | NORTH COAST PATHOLOGY MEDICAL GROUP INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marcus Contardo | Pathology | North Coast Pathology Medical Group Inc | 4002 Vista Way, Oceanside, CA 92056-4506 |
| Bonnie R Bobzien | Pathology | North Coast Pathology Medical Group Inc | 4002 Vista Way, Oceanside, CA 92056-4506 |
| Jerry Kao | Pathology | North Coast Pathology Medical Group Inc | 4002 Vista Way, Oceanside, CA 92056-4506 |
| Melissa A Myrsiades | Pathology | North Coast Pathology Medical Group Inc | 4002 Vista Way, Oceanside, CA 92056-4506 |
| Mahnaz Shahidi Asl | Pathology | North Coast Pathology Medical Group Inc | 4002 Vista Way, Oceanside, CA 92056-4506 |
| Street Address |
4002 VISTA WAY |
| City | OCEANSIDE |
| State | CA |
| Zip | 92056-4506 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jackson W Penry | Diagnostic Radiology | San Diego Diagnostic Radiology Medical Group Inc | 4002 Vista Way, Oceanside, CA 92056-4506 |
| Christopher D Olonan | Internal Medicine | Hospitalist Medicine Physicians of California - Oceanside | 4002 Vista Way, Oceanside, CA 92056-4506 |
| Melinda W Martinez | Physician Assistant | Team Physicians of Southern California Medical Group Inc | 4002 Vista Way, Oceanside, CA 92056-4506 |
| Marcus Contardo | Pathology | North Coast Pathology Medical Group Inc | 4002 Vista Way, Oceanside, CA 92056-4506 |
| Ankaj Khosla | Diagnostic Radiology | San Diego Diagnostic Radiology Medical Group Inc | 4002 Vista Way, Oceanside, CA 92056-4506 |
| David A Antoun | Internal Medicine | Hospitalist Medicine Physicians of California - Oceanside | 4002 Vista Way, Oceanside, CA 92056-4506 |
| Edward S Rotunda | Emergency Medicine | Team Physicians of Southern California Medical Group Inc | 4002 Vista Way, Oceanside, CA 92056-4506 |
| Pengta A Chiang | Emergency Medicine | Team Physicians of Southern California Medical Group Inc | 4002 Vista Way, Oceanside, CA 92056-4506 |
| Bonnie R Bobzien | Pathology | North Coast Pathology Medical Group Inc | 4002 Vista Way, Oceanside, CA 92056-4506 |
| Melaku T Birhanie | Internal Medicine | Hospitalist Medicine Physicians of California - Oceanside | 4002 Vista Way, Oceanside, CA 92056-4506 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan M Krystal | Family Medicine | 2351 Cartegena Way, Oceanside, CA 92056-1726 | |
| Kathryn W Daly | Clinical Social Worker | 441 Ernest Ct, Oceanside, CA 92056-2408 | |
| Kaitlin J Smallwood | Clinical Social Worker | Mental Health Systems, Inc. | 3609 Ocean Ranch Blvd, Oceanside, CA 92056-2698 |
| Beth Forbes | Nurse Practitioner | 4743 Rising Glen Dr, Oceanside, CA 92056-3015 | |
| James William Farthing II | Chiropractic | 4750 Oceanside Blvd, Suite A17, Oceanside, CA 92056-3052 | |
| Linden J Burzell | Family Medicine | Graybill Medical Group Inc | 3142 Vista Way, Suite 100, Oceanside, CA 92056-3627 |
| James V Chabala | Family Medicine | Graybill Medical Group Inc | 3142 Vista Way, Suite 100, Oceanside, CA 92056-3627 |
| Kallie Arne Wikman | Physical Therapy | Rancho Physical Therapy Inc | 3142 Vista Way, Suite 101, Oceanside, CA 92056-3627 |
| Stephen D R Tinio | Family Medicine | Graybill Medical Group Inc | 3142 Vista Way, Suite 100, Oceanside, CA 92056-3627 |
| Jennifer T Lawrence | Physical Therapy | Rancho Physical Therapy Inc | 3142 Vista Way, Suite 101, Oceanside, CA 92056-3627 |
| Find all physicians in zip 92056 | |||
| City | OCEANSIDE |
| Zip Code | 92056 |
| Specialty | PATHOLOGY |
| City + Specialty | OCEANSIDE + PATHOLOGY |
Please comment or provide details below to improve the information on Richard L 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.