Curtis SF Wong, MD, Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

G74386 Issued in CA

Legal business name

CURTIS SF WONG, MD, INC

Practice address

2440 Sister Mary Columba Dr
Suite 200
Red Bluff, CA 96080-4356

Phone

(530) 690-2424

Fax

(530) 690-2426

NPI assigned

Jan 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Curtis SF Wong, MD

Title

President

Phone

(530) 690-2424

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Norcal Aesthetic Plastic Surgery Other name

Locations

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1144524232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 SISTER MARY COLUMBA DR",
            "address_2": "SUITE 200",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960804356",
            "telephone_number": "530-690-2424",
            "fax_number": "530-690-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 SISTER MARY COLUMBA DR",
            "address_2": "SUITE 200",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960804356",
            "telephone_number": "530-690-2424",
            "fax_number": "530-690-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURTIS SF WONG, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "SF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-690-2424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "G74386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G743860",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - UNSPECIFIED",
            "identifier": "00G743860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norcal Aesthetic Plastic Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Crosspeaks Services, Inc. (Ridgeline Pediatric)
• Travis Wayne Crowell, FNP-C
• Shanalee Cruz
• Stacy Catherine Cullum, O.D.
• Anna Eicholtz Cummins, NP
• Jaye Lyn Curtis, LMFT
• Jamie Cushman, LVN 2
• David Dahnke
• Kathleen A Dahnke, P.T.
• Mazen Dalbik, PHARMD

• Medical Specialty Clinic/Center in Red Bluff, CA
• Providers in Red Bluff, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.