Gordon W Wong, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

A102501 Issued in CA

Practice address

15400 National Ave
Suite 100
Los Gatos, CA 95032-2433

Phone

(408) 358-8400

Fax

(408) 358-2793

NPI assigned

Jun 14, 2006

Last updated

Apr 6, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, AR2 enrollments

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 2

Specialty

Radiation Oncology

Education

Indiana University School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Monterey Bay Oncology a Medical CorporationGroup PAC ID 6507826856, 14 clinicians

Epic CareGroup PAC ID 5890053094, 54 clinicians

Regents of the University of California - UCSFGroup PAC ID 3375822471, 78 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380
• El Camino Health Hospital, Mountain View, CA, CCN 050308

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: gwong11749@santaclaravalley.direct-ci.net
• Direct secure messaging: gwong153069@ehr.johnmuirhealth.com
• Direct secure messaging: gwong240697@hisp.ehr.sutterhealth.org

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.

• Epic Care

  • Multi-Specialty Clinic/Center
  • Antioch, CA
  • NPI 1780107797
  Medicare reassignment Care Compare group NPD
• Monterey Bay Oncology a Medical Corporation

  dba Pacific Cancer Care

  • Hematology & Oncology Physician
  • Monterey, CA
  • NPI 1972542959
  Medicare reassignment Care Compare group NPD
• Regents of the University of California - UCSF

  dba UCSF Clinical Integrated Partners

  • Multi-Specialty Clinic/Center
  • San Francisco, CA
  • NPI 1265890263
  Medicare reassignment Care Compare group NPD
• Baptist Health Services

  dba Baptist Health Foot and Ankle Clinic-Fort Smith

  • Foot & Ankle Surgery Podiatrist
  • Fort Smith, AR
  • NPI 1922587690
  Medicare reassignment NPD
• Gordon Wong MD

  • Radiation Oncology Physician
  • Los Gatos, CA
  • NPI 1649616939
  Authorized official Same address or phone
• Anthony J Badame MD a Professional Corporation

  • Dermatology Physician
  • San Jose, CA
  • NPI 1699509059
  NPD
• Precision Cancer Specialists Medical Group, Inc.

  • Radiation Oncology Physician
  • San Francisco, CA
  • NPI 1942752829
  NPD
• Baptist Health Services

  • Family Medicine Physician
  • Fort Smith, AR
  • NPI 1750856043
  NPD
• Eden Medical Center/San Leandro Hospital Campus

  dba San Leandro Hospital

  • Rehabilitation Hospital Unit
  • San Leandro, CA
  • NPI 1679523633
  NPD (past)
• El Camino Hospital

  dba El Camino Health

  • General Acute Care Hospital
  • Mountain View, CA
  • NPI 1093712374
  NPD (past)
• El Camino Hospital

  • General Acute Care Hospital
  • Los Gatos, CA
  • NPI 1417199340
  NPD (past)
• Good Samaritan Hospital, L.P.

  dba Good Samaritan Hospital

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1376595777
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• El Camino Hospital

  dba El Camino Health

  • General Acute Care Hospital
  • Mountain View, CA
  • NPI 1093712374
  Care Compare affiliation
• El Camino Hospital

  • General Acute Care Hospital
  • Los Gatos, CA
  • NPI 1417199340
  Care Compare affiliation
• El Camino Hospital

  • General Acute Care Hospital
  • Los Gatos, CA
  • NPI 1457594087
  Care Compare affiliation
• Good Samaritan Hospital, L.P.

  dba Good Samaritan Hospital

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1437103777
  Care Compare affiliation

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1235172446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15400 NATIONAL AVE",
            "address_2": "SUITE 100",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322433",
            "telephone_number": "408-358-8400",
            "fax_number": "408-358-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 NATIONAL AVE",
            "address_2": "SUITE 100",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322433",
            "telephone_number": "408-358-8400",
            "fax_number": "408-358-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "GORDON",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WI",
            "license": "48162",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A102501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• May Corca Wolff, MSW LCSW
• Women's Care for Life Medical Clinic Inc
• Wonder Acupuncture Inc
• Dennis K Wong, DDS
• Edward Kern Wong, MD
• Maple Wong, PHARMD.
• Rebecca CHI-Lan Wong, PT
• Ricky Wong, PT, DPT
• Teresa Wong, PT
• William Wong, PHARMD

• Radiation Oncology Physician in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Radiation Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.