Individual provider Active NPI

Curtis Sing Fook Wong, M.D

  • Plastic Surgery Physician
  • Redding, CA
National Provider Identifier
1114931151
Registry record updated Jan 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
GO74386 Issued in CA
Practice address
1950 Rosaline Ave
Suite F
Redding, CA 96001-2543
Phone
(530) 227-8839
Fax
(888) 709-1015
NPI assigned
Jul 27, 2006
Last updated
Jan 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X GO74386 CA Primary

Addresses

Primary practice location

1950 Rosaline Ave
Suite F
Redding, CA 96001-2543

Mailing address

1950 Rosaline Ave
Suite F
Redding, CA 96001-2543
Phone (530) 227-8839

Other identifiers 1

IdentifierTypeStateIssuer
00G743860MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260526002033 CA Order and Referring Only - Plastic and Reconstructive SurgeryPractitioner - Plastic and Reconstructive Surgery 6901861145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
GO74386CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plastic Surgery Associates of Redding a Medical Corporation Plastic Surgery PastSince Jun 28, 2009 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358553600000",
    "number": "1114931151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 ROSALINE AVE",
            "address_2": "SUITE F",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012543",
            "telephone_number": "530-227-8839",
            "fax_number": "888-709-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 ROSALINE AVE",
            "address_2": "SUITE F",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012543",
            "telephone_number": "530-227-8839",
            "fax_number": "888-709-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "CURTIS",
        "middle_name": "SING FOOK",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2013-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "GO74386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G743860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.