Individual provider Active NPI

Patricia M Wong, DDS

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1205906138
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45630 Issued in CA
Practice address
1530 Judah St
San Francisco, CA 94122
Phone
(415) 759-8680
Fax
(415) 759-8629
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 45630 CA Primary

Addresses

Primary practice location

1530 Judah St
San Francisco, CA 94122

Mailing address

1530 Judah St
San Francisco, CA 94122-1718
Phone (415) 759-8680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 25, 2017 through Apr 25, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
45630CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia M. Wong DDS, Dental PC General Practice Current Accepting new patients

Locations

1530 Judah St
San Francisco, CA 94122
Phone (415) 759-8680

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1205906138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 JUDAH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941221718",
            "telephone_number": "415-759-8680",
            "fax_number": "415-759-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 JUDAH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94122",
            "telephone_number": "415-759-8680",
            "fax_number": "415-759-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "PATRICIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.