Active NPI
Gladys Wong, M.T.
- Specialist
- Daly City, CA
National Provider Identifier
1689902447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0844
- Practice address
- 2171 Junipero Serra Blvd Ste 590
Daly City, CA 94014-1990 - Phone
- (650) 992-5782
- Fax
- (650) 756-9005
- NPI assigned
- Dec 4, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0844 | CA | Primary |
Addresses
Primary practice location
2171 Junipero Serra Blvd Ste 590
Daly City, CA 94014-1990
Mailing address
2171 Junipero Serra Blvd Ste 590
Daly City, CA 94014-1990
Phone (650) 992-5782
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0844 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Danny K L Chan | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259884800000",
"number": "1689902447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2171 JUNIPERO SERRA BLVD STE 590",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940141990",
"telephone_number": "650-992-5782",
"fax_number": "650-756-9005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2171 JUNIPERO SERRA BLVD STE 590",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940141990",
"telephone_number": "650-992-5782",
"fax_number": "650-756-9005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "GLADYS",
"credential": "M.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-04",
"last_updated": "2009-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "0844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.