David Yick Leung Wong, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

000080272 Issued in CA

Practice address

7822 Deer Meadow Dr
Sacramento, CA 95823-4414

Phone

(916) 421-4176

NPI assigned

Apr 22, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. I-Liang Huang Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1437579109",
    "addresses": [
        {
            "country_code": "TW",
            "country_name": "Taiwan",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "65 CHANG AN EAST ROAD, SECTION 2",
            "address_2": "4/FL.",
            "city": "TAIPEI",
            "state": "CHUNG SHAN PROVIDENCE",
            "postal_code": "10455",
            "telephone_number": "886935936635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7822 DEER MEADOW DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958234414",
            "telephone_number": "916-421-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "DAVID",
        "middle_name": "YICK LEUNG",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "000080272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "I-LIANG",
            "last_name": "HUANG",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chung Ki Wong, D.O.
• Clifford Chan Wong, PHARM BS
• Colleen Tweed Wong, LMFT
• Daniel Wong, ENDOCRINOLOGY
• David Tak-Yan Wong, DDS
• Dennis David Wong, DDS
• Derek J Wong, M.D.
• Elizabeth Xiu-Juan Wong, RDHAP
• Eric Wong, D.D.S.
• Eva Wong

• Athletic Trainer in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.