Individual provider Active NPI

Patrick J Wong, PA-C

  • Surgical Physician Assistant
  • Oakland, CA
National Provider Identifier
1831368109
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA-19625 Issued in CA
Practice address
744 52ND St
Suite 5203
Oakland, CA 94609
Phone
(510) 428-3319
NPI assigned
Feb 21, 2008
Last updated
Jul 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA-19625 CA Primary

Addresses

Primary practice location

744 52ND St
Suite 5203
Oakland, CA 94609

Mailing address

744 52ND St
Suite 5203
Oakland, CA 94609

Other practice location 1

1320 El Capitan Dr Ste 300
Danville, CA 94526-6258
Phone (925) 884-2360

Other practice location 2

20055 Lake Chabot Rd Ste 110
Castro Valley, CA 94546-5332
Phone (510) 886-3138

Other identifiers 1

IdentifierTypeStateIssuer
PA19625OtherCASTATE MEDICAL LICESNE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190307002056 CA Practitioner - Physician Assistant 8527307610 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

1320 El Capitan Dr
Suite 300
Danville, CA 94526-6258
Phone (925) 884-2360

20101 Lake Chabot Rd
Castro Valley, CA 94546-5305
Phone (510) 886-3400

20103 Lake Chabot Rd
Castro Valley, CA 94546-5305
Phone (510) 727-3256

2450 Ashby Ave
Berkeley, CA 94705-2067
Phone (510) 204-4444

2999 Regent St
Suite 301
Berkeley, CA 94705-2118
Phone (510) 204-8120

3200 Kearney St
Fremont, CA 94538-2299
Phone (510) 490-1222

350 Hawthorne Ave
Oakland, CA 94609-3108
Phone (510) 655-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
19625CAMDMental Health Counselor
PA-19625CAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Jul 18, 2022 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Nov 30, 2018 Accepting new patients
UCSF Medical Group Business Services CurrentSince Nov 30, 2018 Accepting new patients
University of California San Francisco CurrentSince Nov 30, 2018 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Jul 18, 2022 Accepting new patients
University of California San Francisco CurrentSince Nov 30, 2018 Accepting new patients
Pacific Brain & Spine Med GRP Inc PastSince Jan 31, 1990 Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
John Muir Health Past Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

20055 Lake Chabot Rd
Ste 110
Castro Valley, CA 94546
Phone (510) 886-3138

1320 El Capitan Dr
Ste 300
Danville, CA 94526
Phone (510) 886-3138

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

Interoperability endpoints

  • Direct secure messaging: pwong240738@hisp.ehr.sutterhealth.org

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

Hospital & facility affiliations 5

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": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1831368109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 52ND ST",
            "address_2": "SUITE 5203",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 52ND ST",
            "address_2": "SUITE 5203",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94609",
            "telephone_number": "510-428-3319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 El Capitan Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "CA",
            "postal_code": "945266258",
            "country_code": "US",
            "telephone_number": "925-884-2360",
            "fax_number": "925-779-3705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20055 Lake Chabot Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Castro Valley",
            "state": "CA",
            "postal_code": "945465332",
            "country_code": "US",
            "telephone_number": "510-886-3138",
            "fax_number": "925-779-3705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "PATRICK",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-21",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA-19625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICESNE",
            "identifier": "PA19625",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.