DOUGLAS EBIN WONG
NPI 1477897684
Physician Assistant in Riverside, CA

Q: What is Douglas Wong's NPI number?

The NPI number for Douglas Wong is 1477897684. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Q: What is Douglas Wong's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Wong was last updated on December 2, 2021. 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 November 15, 2012

10800 MAGNOLIA AVE, RIVERSIDE, CA 92505(951) 353-2000 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 2, 2021, May 8, 2021 (2 updates tracked since 2021).

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About Douglas Ebin Wong NPPES

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

DOUGLAS EBIN WONG (NPI 1477897684) is an individual physician assistant in Riverside, California, licensed in California (22671) and active in the NPI registry since November 2012. He maintains a secondary practice location in Temecula.

NPPES Registry Identity

NPI1477897684

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameDOUGLAS EBIN WONG

Location Address10800 MAGNOLIA AVERiverside, CA 92505-3043

Mailing Address10800 Magnolia AveRiverside, CA 92505-3043 · (951) 353-2000

Phone(951) 353-2000

Sole ProprietorNo

Enumeration DateNovember 15, 2012

Last NPPES UpdateDecember 2, 20212 updates tracked since enumeration

NPPES CertifiedMay 8, 2021

✔ NPI 1477897684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · 22671

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

10800 MAGNOLIA AVE, Riverside, CA 92505

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Secondary Practice Location 1

Location 141715 Winchester Rd, Suite 101Temecula, CA 92590-4808 · Phone (951) 308-4451 · Fax (951) 506-0992

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.

KAISER PERMANENTE

General Acute Care Hospital