DR. GRANGER BRADFORD WONG MD,DMD,FACS
NPI 1225013790
Plastic Surgery in Sacramento, CA
About Dr. Granger Bradford Wong Md,dmd,facs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GRANGER BRADFORD WONG MD,DMD,FACS (NPI 1225013790) is an individual plastic surgery provider in Sacramento, California, licensed in California (A54333) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Nebraska College Of Medicine (1992).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Granger Bradford Wong Md,dmd,facs is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Granger Wong reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sacramento, CA 95817
- Reassigned Medicare billing, California enrollment
- 2,570 clinicians in this Medicare group
Roseville, CA 95661
- Reassigned Medicare billing, California and Hawaii enrollments
- Medicare enrollment name: Granger B Wong MD Inc
Honolulu, HI 96826
- Reassigned Medicare billing, Hawaii enrollment
- 262 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95817 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SACRAMENTO, CA 95817
SACRAMENTO, CA 95817
SACRAMENTO, CA 95817
SACRAMENTO, CA 95817
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Granger Wong's NPI number?
The NPI number for Granger Wong is 1225013790. It was assigned to this individual provider in the NPPES registry on December 7, 2005.
Where is Granger Wong located?
Granger Wong practices at 2221 Stockton Blvd, Sacramento, CA 95817. The listed phone number is (916) 734-2130.
What is Granger Wong's specialty?
The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.
Is Granger Wong enrolled in Medicare?
Yes. Granger Wong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Granger Wong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Granger Wong reassigns Medicare benefits to 3 organizations: Regents Of The Univ Of Ca (Sacramento, CA), Granger B Wong M D Inc (Roseville, CA) and Kapiolani Medical Center For Women & Children (Honolulu, HI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Granger Wong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Granger Wong was last updated on March 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Granger Bradford Wong, MD,DMD,FACS · NPI 1225013790
Plastic Surgery physician in Sacramento, California. Individual provider, active in the CMS NPPES registry since December 7, 2005.
## Identity
- **NPI:** 1225013790 (Entity type: Individual)
- **Enumerated:** December 7, 2005
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **State license:** A54333 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2221 STOCKTON BLVD, Sacramento, CA 95817-1418
- **Phone:** (916) 734-2130
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Regents Of The Univ Of Ca (NPI 1013900075, Sacramento, CA); Granger B Wong M D Inc (NPI 1609922962, Roseville, CA); Kapiolani Medical Center For Women & Children (NPI 1548215692, Honolulu, HI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Nebraska College Of Medicine, class of 1992
## Record status
- **NPPES last updated:** March 10, 2014
- **Other identifiers:** Medicare UPIN F79631 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1225013790) · Data from the CMS NPPES public registry.