Individual provider Active NPI

Jonathan D Wong, MD

  • Obstetrics & Gynecology Physician
  • San Francisco, CA
National Provider Identifier
1780750588
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A49948 Issued in CA
Practice address
1520 Stockton Street
North East Medical Services
San Francisco, CA 94133
Phone
(415) 391-9686
Fax
(415) 433-4726
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A49948 CA Primary

Addresses

Primary practice location

1520 Stockton Street
North East Medical Services
San Francisco, CA 94133

Mailing address

1520 Stockton St
North East Medical Services
San Francisco, CA 94133
Phone (415) 391-9686

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
I20090123000532 CA Practitioner - Obstetrics/Gynecology 9537223227 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49948CAMDGeneral Practice Dentistry
A49948CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North East Medical Services CurrentSince Feb 1, 1995 Accepting new patients
North East Medical Services Current Accepting new patients
North East Medical Services CurrentSince Feb 1, 1995 Accepting new patients

Locations

211 Eastmoor Ave
Daly City, CA 94015
Phone (650) 550-3923

2574 San Bruno Ave
San Francisco, CA 94134
Phone (415) 352-5090

82 Leland Ave
San Francisco, CA 94134
Phone (415) 391-9688

2308 Taraval St
San Francisco, CA 94116

1450 Noriega St
San Francisco, CA 94122

1520 Stockton St
#N
San Francisco, CA 94133

1520 Stockton St
San Francisco, CA 94133

1870 Lundy Ave
San Jose, CA 95131
Phone (408) 573-9686

Interoperability endpoints

  • Direct secure messaging: jwong18361@northeastmedicalservicesnems.direct-ci.com

Organizations & group practices 4

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": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780750588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 STOCKTON ST",
            "address_2": "NORTH EAST MEDICAL SERVICES",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94133",
            "telephone_number": "415-391-9686",
            "fax_number": "415-433-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 STOCKTON STREET",
            "address_2": "NORTH EAST MEDICAL SERVICES",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94133",
            "telephone_number": "415-391-9686",
            "fax_number": "415-433-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "JONATHAN",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A49948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.