Wini Zerline Luong, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56391 Issued in CA

Practice address

2920 Sonoma Blvd Ste a
Vallejo, CA 94590-3879

Phone

(707) 558-2000

Fax

(707) 644-3507

NPI assigned

Jun 2, 2008

Sex

Female

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

Loma Linda University School of Dentistry, 2007

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Contra Costa County

  dba West County Adult Mental Health Services

  • Adult Mental Health Clinic/Center
  • San Pablo, CA
  • NPI 1376620336
  Medicare reassignment NPD
• Contra Costa County

  dba Central County Adult Mental Health Services

  • Adult Mental Health Clinic/Center
  • Concord, CA
  • NPI 1023188489
  NPD
• Contra Costa County

  dba Contra Costa Health

  • General Acute Care Hospital
  • Martinez, CA
  • NPI 1386719086
  NPD
• La Clinica de la Raza Inc

  dba La Clinica Vallejo Dental

  • Dental Clinic/Center
  • Vallejo, CA
  • NPI 1780606632
  NPD (past)

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1588823819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 22210",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94623",
            "telephone_number": "510-535-2965",
            "fax_number": "510-535-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 SONOMA BLVD STE A",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945903879",
            "telephone_number": "707-558-2000",
            "fax_number": "707-644-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUONG",
        "first_name": "WINI",
        "middle_name": "ZERLINE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56391",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.028185",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blanchie Lui
• Sherry Ann Cayas Luistro
• Lichelle Nucum Lum, N.P.
• Eugene P Luna, DDS
• Lunvex Holdings LLC
• Dennis Donald Luschen, DC
• Jamie Lutat, OTR/L
• Luu Medical Group
• Jason Luu, D.C.
• Michael C. Luu, D.O.

• General Practice Dentistry in Vallejo, CA
• Providers in Vallejo, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.