Bowen Y. Wong MD

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

G058245 Issued in CA

Legal business name

BOWEN Y. WONG MD

Practice address

3100 Telegraph Ave Ste 1000
Oakland, CA 94609-3210

Phone

(510) 663-6658

NPI assigned

Apr 24, 2007

Last updated

Aug 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kathryn S. Wong

Title

Secretary

Phone

(510) 663-6658

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bowen Y. Wong, MD

  • Neurology Physician
  • Oakland, CA
  • NPI 1114986742
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1508085150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 TELEGRAPH AVE STE 1000",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093210",
            "telephone_number": "510-663-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 TELEGRAPH AVE STE 1000",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093210",
            "telephone_number": "510-663-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWEN Y. WONG MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "510-663-6658",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "G058245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1114986742",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheline Boutte
• Daelan Boutwell
• Matthew Leo Bouvier
• Ghita Bouzarif, MD
• Heidi Bowden
• Paulina Andrea Bowen
• Cura Bowens
• Eudora Sunice Bowens
• Danielle Bower, MSW-PPSC
• Joseph Ryan Bower, DC

• Medical Specialty Clinic/Center in Oakland, CA
• Providers in Oakland, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.