Organization Active NPI

Patrick Wong MD Inc

  • Specialist
  • San Francisco, CA
National Provider Identifier
1609168368
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00A235710 Issued in CA
Legal business name
PATRICK WONG MD INC
Practice address
3838 California St
Suite 514
San Francisco, CA 94118-1522
Phone
(415) 386-7555
NPI assigned
May 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Authorized official

Name
Patrick Y Wong, M.D.
Title
Owner
Phone
(415) 386-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 00A235710 CA Primary

Addresses

Primary practice location

3838 California St
Suite 514
San Francisco, CA 94118-1522

Mailing address

3838 California St
Suite 514
San Francisco, CA 94118-1522
Phone (415) 386-7555

Other identifiers 1

IdentifierTypeStateIssuer
1346279932OtherCANPI

National Provider Directory

National Provider Directory

Locations

3838 California St
Rm 514
San Francisco, CA 94118
Phone (415) 386-3338

728 Pacific Ave
Ste 506
San Francisco, CA 94133
Phone (415) 386-7555

NPI Registry JSON

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1609168368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 CALIFORNIA ST",
            "address_2": "SUITE 514",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181522",
            "telephone_number": "415-386-7555",
            "fax_number": "415-386-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 CALIFORNIA ST",
            "address_2": "SUITE 514",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181522",
            "telephone_number": "415-386-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK WONG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-386-7555",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "00A235710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1346279932",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.