Henry Y T Wong, MD Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A26199 Issued in CA

Legal business name

HENRY Y T WONG, MD INC

Practice address

1800 N California St
Stockton, CA 95204-6019

Phone

(209) 467-6338

Fax

(209) 461-5150

NPI assigned

Aug 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Henry Y. T. Wong, M. D.NPI 1376655431

Title

President

Phone

(209) 467-6335

Specialties & licenses 1

Addresses

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.

• Henry Yick Tung Wong, M.D.

  • Therapeutic Radiology Physician
  • Stockton, CA
  • NPI 1376655431
  NPD (past) Authorized official

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720194731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046019",
            "telephone_number": "209-467-6338",
            "fax_number": "209-461-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046019",
            "telephone_number": "209-467-6338",
            "fax_number": "209-461-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY Y T WONG, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "Y. T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-467-6335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A26199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Hendrickson, MA
• Michelle Leanne Hendrix, LPCC
• Kelly Loraine Henriquez, RDH
• Richard Henriquez
• Vada Henriquez
• Jocelynn Henry
• John Henry
• Melanie Henry, RDN
• Jovalynn Lisa Hensley
• Marissa Hensley, PT

• Clinic/Center in Stockton, CA
• Providers in Stockton, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.