MR. CEDRIC LOH-SHIN WONG M.D.
NPI 1396702684
Specialist in Folsom, CA

Q: What is Cedric Wong's NPI number?

The NPI number for Cedric Wong is 1396702684. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Q: What is Cedric Wong's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Cedric Wong was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 28, 2006PECOS Enrolled

530 PLAZA DR STE 110, FOLSOM, CA 95630(916) 260-9237(916) 221-7783 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Cedric Loh-shin Wong M.d. NPPES

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

MR. CEDRIC LOH-SHIN WONG M.D. (NPI 1396702684) is an individual specialist in Folsom, California, licensed in California (G74697) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396702684

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameMR. CEDRIC LOH-SHIN WONGCredential: M.D.

Location Address530 PLAZA DR STE 110Folsom, CA 95630-4782

Mailing Address530 Plaza Dr Ste 110Folsom, CA 95630-4782 · (916) 260-9237 · Fax (916) 221-7783

Phone(916) 260-9237

Fax(916) 221-7783

Sole ProprietorYes

Enumeration DateApril 28, 2006

Last NPPES UpdateMarch 22, 2022

NPPES CertifiedMarch 22, 2022

✔ NPI 1396702684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · G74697

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License G74697 (CA)

530 PLAZA DR STE 110, Folsom, CA 95630

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Cedric Loh-shin 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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CALIFORNIA PAIN & RECOVERY

Physical Medicine & Rehabilitation (Pain Medicine)