Individual provider Active NPI

David Jun Sing Wong, MD, PHD

  • Dermatology Physician
  • Stanford, CA
National Provider Identifier
1316972201
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A84286 Issued in CA
Practice address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone
(650) 723-4000
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A84286 CA Primary

Addresses

Primary practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Mailing address

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

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
I20051005000470 CA Practitioner - Dermatology 4486689700 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Direct Dermatology Professionals PCGroup PAC ID 1153585948, 7 clinicians
Stanford Health CareGroup PAC ID 6709797491, 3,152 clinicians

Practice addresses (Care Compare)

165 Saint Dominics Dr
Suite 120
Manteca, CA 95337-7802
Phone (855) 944-7546

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

420 Broadway St
Redwood City, CA 94063-3132
Phone (650) 723-4000

450 Broadway St
Redwood City, CA 94063-3132
Phone (650) 723-4000

668 E Romie LN
Salinas, CA 93901-4206
Phone (855) 944-7546

Hospital & facility affiliations

  • Stanford Health Care Hospital, Stanford, CA, CCN 050441

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as group
Quality
87.08
Promoting interoperability
100
Improvement activities
40
Cost
69.51

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions681
Removal of nail tissue1-10
Removal or shaving of skin growth15
Skin biopsy275

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Medical Center Tehachapi CurrentSince Feb 25, 2021 Accepting new patients
LPCH Medical Group Div of Lucile CurrentSince Jul 1, 2019 Accepting new patients
Direct Dermatology Professionals PC Dermatology CurrentSince Mar 4, 2012 Accepting new patients
Adventist Health Medical Center Tehachapi CurrentSince Feb 25, 2021 Accepting new patients
Last Frontier Healthcare District Past Accepting new patients
Reedley Community Hospital Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients

Locations

9350 N Loop Blvd
California City, CA 93505
Phone (760) 373-1785

7720 N Fresno St
Ste 106
Fresno, CA 93720
Phone (559) 353-7271

5305 N Fresno St
Ste 105
Fresno, CA 93710
Phone (510) 241-2884

2485 Sunrise Blvd
Ste C
Gold River, CA 95670
Phone (855) 944-7546

165 Saint Dominics Dr
Ste 120
Manteca, CA 95337
Phone (209) 823-0000

450 E Yosemite Ave
Ste A
Merced, CA 95340
Phone (209) 723-4885

2020 Standiford Ave
Ste E1
Modesto, CA 95350
Phone (209) 522-3815

2020 Standiford Ave
Bldg E
Modesto, CA 95350
Phone (650) 963-0600

530 Lytton Ave
Fl 2
Palo Alto, CA 94301
Phone (415) 663-5584

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

450 Broadway St
Fl 2
Redwood City, CA 94063
Phone (650) 498-3931

8100 Timberlake Way
Ste F
Sacramento, CA 95823
Phone (916) 689-4889

668 E Romie Ln
Salinas, CA 93901
Phone (855) 944-7546

632 E Romie Ln
Salinas, CA 93901
Phone (831) 422-6711

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

1100 Magellan Dr
Tehachapi, CA 93561
Phone (661) 823-3000

1380 Lusitana St
Ste 907
Honolulu, HI 96813
Phone (808) 638-2642

1129 W 14 Mile Rd
Clawson, MI 48017
Phone (248) 214-1100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dwong44114@direct.stanfordhealthcare.org

Organizations & group practices 8

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1316972201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "DAVID",
        "middle_name": "JUN SING",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A84286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.