Individual provider Active NPI

Daniel Wong, M.D.

  • Anesthesiology Physician
  • Menlo Park, CA
National Provider Identifier
1750446076
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A90765 Issued in CA
Practice address
1422 El Camino Real
Menlo Park, CA 94025-4110
Phone
(650) 903-9500
Fax
(650) 903-9900
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A90765 CA Primary

Addresses

Primary practice location

1422 El Camino Real
Menlo Park, CA 94025-4110

Mailing address

1422 El Camino Real
Menlo Park, CA 94025-4110
Phone (650) 903-9500

Other identifiers 1

IdentifierTypeStateIssuer
1750446076MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071019000415 CA Practitioner - Anesthesiology 6002902145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of California, San Francisco School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesiologists Medical Group of San Francisco Inc.Group PAC ID 8820986508, 16 clinicians

Practice addresses (Care Compare)

900 Hyde St
San Francisco, CA 94109-4806
Phone (415) 353-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A90765CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiologists' Medical Group of San Francisco, Inc. Anesthesiology CurrentSince Oct 1, 2022 Accepting new patients
El Camino Anesthesia Anesthesiology CurrentSince Jul 1, 2021 Accepting new patients
Century Anesthesia Assoc. Anesthesiology PastSince Aug 1, 2005 Accepting new patients

Locations

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

900 Hyde St
#C
San Francisco, CA 94109
Phone (415) 353-6000

900 Hyde St
San Francisco, CA 94109
Phone (415) 353-6000

450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000

Interoperability endpoints

  • Direct secure messaging: dwong432931@direct-ucsfmedicalcenter.org
  • Direct secure messaging: dwong6798@icare.elcaminohospital.org

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1750446076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 EL CAMINO REAL",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254110",
            "telephone_number": "650-903-9500",
            "fax_number": "650-903-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 EL CAMINO REAL",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254110",
            "telephone_number": "650-903-9500",
            "fax_number": "650-903-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A90765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750446076",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

Verify at the official NPI Registry.