Active NPI
Jonathan D Wong, MD
- Obstetrics & Gynecology Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A49948
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49948 | CA | MD | General Practice Dentistry |
| A49948 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North East Medical Services | Current | Accepting new patients | |
| North East Medical Services | Current | Accepting new patients | |
| North East Medical Services | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- San Francisco, CA
- NPI 1336229194
-
- Federally Qualified Health Center (FQHC)
- San Francisco, CA
- NPI 1518911304
-
- Community/Retail Pharmacy
- San Jose, CA
- NPI 1902616279
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.