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DR. HENRY YICK TUNG WONG M.D.
NPI 1376655431
Radiology - Therapeutic Radiology in Stockton, CA

Active since August 31, 2006PECOS Enrolled
1800 N CALIFORNIA ST, STOCKTON, CA 95204(209) 467-6335(209) 461-5150 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Henry Yick Tung Wong M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HENRY YICK TUNG WONG M.D. (NPI 1376655431) is an individual therapeutic radiology provider in Stockton, California, licensed in California (A26199) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376655431
Entity TypeIndividualMale
Primary Taxonomy2085R0203X
Provider Legal NameDR. HENRY YICK TUNG WONGCredential: M.D.
Location Address1800 N CALIFORNIA STStockton, CA 95204-6019
Mailing Address10515 Escondido PlStockton, CA 95212-9267 · (209) 931-9537 · Fax (209) 931-8277
Phone(209) 467-6335
Fax(209) 461-5150
Sole ProprietorYes
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1376655431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Therapeutic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0203X
License✔ Licensed in CA · A26199
Definition
Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.
1800 N CALIFORNIA ST, Stockton, CA 95204
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Other Identifiers 1

Medicare UPINA87010CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Henry Yick Tung Wong M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MONICA CHAPPIDI DO
Student in an Organized Health Care Education/Training Program
1800 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 547-5949
DEEPAK GIR MD
Student in an Organized Health Care Education/Training Program
1800 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 547-7177
PRIYADEEP KANG MD
Student in an Organized Health Care Education/Training Program
1800 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 547-7181
NANCY THI NGUYEN CF-SLP
Speech-Language Pathologist
1800 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 943-2000
DR. VALERIE DEJESUS MD
Anesthesiology
1800 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 547-5716
DR. AMATYA TARAN MD
Student in an Organized Health Care Education/Training Program
1800 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 547-7177
LARRY GEORGE OTTERSTETTER DO
Student in an Organized Health Care Education/Training Program
1800 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 547-7181
SHUBHPREET KAUR SOHAL
Nurse Practitioner (Family)
1800 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 466-0456

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 Henry Wong's NPI number?

The NPI number for Henry Wong is 1376655431. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Henry Wong located?

Henry Wong practices at 1800 N California St, Stockton, CA 95204. The listed phone number is (209) 467-6335.

What is Henry Wong's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Therapeutic Radiology, with taxonomy code 2085R0203X.

Is Henry Wong enrolled in Medicare?

Yes. Henry Wong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Henry Wong was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.