Individual provider Active NPI

Donovan Wong, M.D.

  • Psychiatry Physician
  • Oroville, CA
National Provider Identifier
1437315967
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A103766 Issued in CA
Practice address
82 Table Mountain Blvd
Oroville, CA 95965-3578
Phone
(530) 538-7705
Fax
(530) 538-7852
NPI assigned
Aug 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X P9138 TX
Psychiatry Physician 2084P0800X A103766 CA Primary

Addresses

Primary practice location

82 Table Mountain Blvd
Oroville, CA 95965-3578

Mailing address

82 Table Mountain Blvd
Oroville, CA 95965-3578
Phone (530) 538-7705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 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

Enrollment IDStateProvider typePAC IDDetails
I20091118000369 CA Practitioner - Psychiatry 4082752688 Reassigns benefits to 2 organizations
I20140904002674 TX Practitioner - Psychiatry 4082752688 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Southern California Keck School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of ButteGroup PAC ID 3779489356, 29 clinicians

Practice addresses (Care Compare)

560 Cohasset Rd
Suite 175
Chico, CA 95926-2460
Phone (530) 891-2784

Hospital & facility affiliations

  • Oroville Hospital Hospital, Oroville, CA, CCN 050030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A103766CAMDPsychiatry Physician
P9138TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Butte CurrentSince Feb 1, 2023 Accepting new patients
Bluebonnet Trails Community MHMR Center CurrentSince Aug 4, 2014 Accepting new patients
Texana Center CurrentSince Aug 16, 2014 Accepting new patients
The Gulf Coast Center Psychiatry CurrentSince Jun 28, 2014 Accepting new patients
County of Butte Current Accepting new patients
Helen Farabee Centers Psychiatry CurrentSince Jun 5, 2014 Accepting new patients
Bluebonnet Trails Community MHMR Center Psychiatry CurrentSince Aug 4, 2014 Accepting new patients
County of Butte CurrentSince Feb 1, 2023 Accepting new patients
Didi Hirsch Psychiatric Service CurrentSince Aug 6, 2018 Accepting new patients
Camino Real Community MHMR Center CurrentSince Oct 1, 2014 Accepting new patients
Burke Center Psychiatry CurrentSince Jun 4, 2014 Accepting new patients
Didi Hirsch Psychiatric Service CurrentSince Aug 6, 2018 Accepting new patients
Heart of Texas Region MHMR Center CurrentSince Jun 7, 2014 Accepting new patients

Locations

560 Cohasset Rd
Ste 175
Chico, CA 95926
Phone (530) 552-5076

3217 Cohasset Rd
Cohasset, CA 95973
Phone (530) 552-4578

995 Spruce St
Gridley, CA 95948
Phone (530) 846-7305

4760 Sepulveda Blvd
Los Angeles, CA 90230
Phone (310) 751-5344

82 Table Mountain Blvd
Oroville, CA 95965
Phone (530) 538-7705

1749 E State Highway 97
Jourdanton, TX 78026
Phone (830) 767-2320

4444 W Main St
League City, TX 77573

2001 S Medford Dr
Lufkin, TX 75901
Phone (936) 633-5672

19965 FM 3175
Lytle, TX 78052
Phone (210) 357-0300

4910 Airport Ave
Ste D
Rosenberg, TX 77471
Phone (281) 239-1300

1009 N Georgetown St
Round Rock, TX 78664
Phone (512) 244-8374

7510 FM 1765
Texas City, TX 77591
Phone (409) 935-6083

110 S 12th St
Waco, TX 76701
Phone (254) 297-7124

500 Broad St
Wichita Falls, TX 76301
Phone (940) 397-3300

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1437315967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 TABLE MOUNTAIN BLVD",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959653578",
            "telephone_number": "530-538-7705",
            "fax_number": "530-538-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 TABLE MOUNTAIN BLVD",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959653578",
            "telephone_number": "530-538-7705",
            "fax_number": "530-538-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "DONOVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-04",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "P9138",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A103766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oroville, CA

Sources for this page

Verify at the official NPI Registry.