Cedric Loh-Shin Wong, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G74697 Issued in CA

Practice address

530 Plaza Dr Ste 110
Folsom, CA 95630-4782

Phone

(916) 260-9237

Fax

(916) 221-7783

NPI assigned

Apr 28, 2006

Sex

Male

Sole proprietor

Yes

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

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.

• First Choice Medical and Surgical Associates Inc

  • Orthopaedic Surgery Physician
  • Vacaville, CA
  • NPI 1902211329
  Medicare reassignment NPD

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1396702684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 PLAZA DR STE 110",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304782",
            "telephone_number": "916-260-9237",
            "fax_number": "916-221-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 PLAZA DR STE 110",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304782",
            "telephone_number": "916-260-9237",
            "fax_number": "916-221-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "CEDRIC",
        "middle_name": "LOH-SHIN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G74697",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G74697",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trent D. Wise, MD
• Donald Bruce Wiswell, RPH
• Sherri Lane Wiswell, RPH
• William Anthony Witthuhn
• Tigist Wole
• Collins Wong
• Eric Wong, M.D.
• Marston Wong, D.D.S.
• Wayne Wong, PHARM.D.
• Nga Woo, RPH

• Specialist in Folsom, CA
• Providers in Folsom, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.