Sophia Shiahua Wong, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A93141 Issued in CA

Practice address

995 Potrero Ave
Positive Health Practice, BLDG. 80, Mailstop 0874
San Francisco, CA 94110-2859

Phone

(415) 476-4082

Fax

(415) 476-6953

NPI assigned

Jul 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Asian Health Services

  • Federally Qualified Health Center (FQHC)
  • Oakland, CA
  • NPI 1841331402
  Medicare reassignment NPD
• Asian Health Services

  • Federally Qualified Health Center (FQHC)
  • Oakland, CA
  • NPI 1003134545
  NPD

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336347202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 18TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 POTRERO AVE",
            "address_2": "POSITIVE HEALTH PRACTICE, BLDG. 80, MAILSTOP 0874",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102859",
            "telephone_number": "415-476-4082",
            "fax_number": "415-476-6953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "SOPHIA",
        "middle_name": "SHIAHUA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A93141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandy Wai Kuan Wong, M.D.
• Sarah Elizabeth Wong, D.D.S.
• Serena Wong
• Sharon Wong, FNP
• Shirley Wong
• Stacy Nicole Wong, N.P.
• Stephanie Wong
• Stephanie Erin Wong, M.D.
• Stephanie Gar-Yan Wong, PHARMD
• Stephanie Joan Wong, PHARM.D.

• Internal Medicine Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.