Gordon Wong MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

A102501 Issued in CA

Legal business name

GORDON WONG MD

Practice address

15400 National Ave
Ste 100
Los Gatos, CA 95032-2433

Phone

(408) 358-8400

NPI assigned

May 14, 2013

Last updated

May 14, 2013By 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

Dr. Gordon W Wong, MDNPI 1235172446

Title

Owner

Phone

(209) 342-2300

Specialties & licenses 1

Addresses

Locations

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.

• Gordon W Wong, M.D.

  • Radiation Oncology Physician
  • Los Gatos, CA
  • NPI 1235172446
  Authorized official Same address or phone

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1649616939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 N STAR WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569262",
            "telephone_number": "209-342-2300",
            "fax_number": "209-524-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 NATIONAL AVE",
            "address_2": "STE 100",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322433",
            "telephone_number": "408-358-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON WONG MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-14",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-342-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A102501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Dehard Goodman, D.C.
• Michelle Diane Goodwin, LCSW
• Nicole Goodwin, PT
• Meghan Gordineer, MPT
• Gordon L Levin Medical Corp
• Perry Gordon, DPT
• Sharon M Gordon, PT
• Wendy Lee Gorelick, LMFT
• Vida Goudarzi, RD REGISTERED DIETIT
• Michelle Gough, RN, MSN, FNP-C

• Radiation Oncology Physician in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Radiation Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.