DR. GRANGER BRADFORD WONG MD,DMD,FACS
NPI 1225013790
Plastic Surgery in Sacramento, CA

Q: 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.

Q: What is Granger Wong's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: 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.

Active since December 07, 2005PECOS EnrolledAccepts Medicare Assignment

2221 STOCKTON BLVD, SACRAMENTO, CA 95817(916) 734-2130 Get Directions Write a Review

NPPES record last updated: March 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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

NPI1225013790

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameDR. GRANGER BRADFORD WONGCredential: MD,DMD,FACS

Location Address2221 STOCKTON BLVDSacramento, CA 95817-1418

Mailing Address2221 Stockton BlvdSacramento, CA 95817-1418 · (916) 734-2130

Phone(916) 734-2130

Sole ProprietorYes

Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1992

Enumeration DateDecember 7, 2005

Last NPPES UpdateMarch 10, 2014

✔ NPI 1225013790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in CA · A54333

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedMedical Genetics, Ph.D. Medical GeneticsTaxonomy 170100000X · License A54333 (CA)

2221 STOCKTON BLVD, Sacramento, CA 95817

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Other Identifiers 1

Medicare UPINF79631CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID2567559743

PECOS Enrollment IDI20071105000405, I20081201000141

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

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.

New Patient

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

REGENTS OF THE UNIV OF CA

Transplant Surgery

2221 STOCKTON BLVD
SACRAMENTO, CA 95817

Sacramento County (916) 734-7785

REGENTS OF THE UNIV OF CA

Preventive Medicine (Occupational Medicine)

2221 STOCKTON BLVD
SACRAMENTO, CA 95817

Sacramento County (916) 734-2715

ALLISON SHUKEN NURSE PRACTITIONER

Nurse Practitioner (Acute Care)

2221 STOCKTON BLVD
SACRAMENTO, CA 95817

Sacramento County (916) 703-3193

MS. ABIGAIL JO SCHEITLIN BSN, RN, MSN, FNP

Nurse Practitioner (Family)

2221 STOCKTON BLVD
SACRAMENTO, CA 95817

Sacramento County (916) 734-3528

BERNADETTE HYSTAD

Physician Assistant (Surgical)

2221 STOCKTON BLVD, 2112
SACRAMENTO, CA 95817

Sacramento County (916) 734-7255

JOY VONGSPANICH PHARMD

Pharmacist

2221 STOCKTON BLVD, RM 1130
SACRAMENTO, CA 95817

Sacramento County (916) 734-3244

BARBARA JACHNIEWICZ NP

Nurse Practitioner (Family)

2221 STOCKTON BLVD, CYPRESS BUILDING , SUIT E
SACRAMENTO, CA 95817

Sacramento County (916) 734-2680

REGENTS OF THE UNIVERSITY OF CA

Surgery

2221 STOCKTON BLVD
SACRAMENTO, CA 95817

Sacramento County (916) 734-7313

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.

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.