Sam Huen Sheung Wong, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A6681 Issued in CA

Practice address

201 Waterman Rd
Ione, CA 95640-9701

Phone

(209) 274-8246

Fax

(209) 274-4163

NPI assigned

May 11, 2009

Last updated

May 11, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242000000000",
    "number": "1598999245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WATERMAN RD",
            "city": "IONE",
            "state": "CA",
            "postal_code": "956409701",
            "telephone_number": "209-274-8246",
            "fax_number": "209-274-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WATERMAN RD",
            "city": "IONE",
            "state": "CA",
            "postal_code": "956409701",
            "telephone_number": "209-274-8246",
            "fax_number": "209-274-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "SAM",
        "middle_name": "HUEN SHEUNG",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-11",
        "last_updated": "2009-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Perez-Uribe Vega
• Geoffrey Douglas Webster, D.D.S.
• Brett Stephan Williams, MD
• Edwin Michael Williams, D.D.S.
• Melissa Kaye Windham
• Amanda N Wood

• Family Medicine Physician in Ione, CA
• Providers in Ione, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; 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.