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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. RANDAL PATRICK WONG DDS
NPI 1760459531
Dentist - General Practice in San Bruno, CA

Active since March 01, 2006
560 JENEVEIN AVE, SAN BRUNO, CA 94066(650) 583-1793(650) 583-1826 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Randal Patrick Wong Dds NPPES

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

DR. RANDAL PATRICK WONG DDS (NPI 1760459531) is an individual general practice provider in San Bruno, California, licensed in California (37184) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1760459531
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RANDAL PATRICK WONGCredential: DDS
Location Address560 JENEVEIN AVESan Bruno, CA 94066-4408
Mailing Address560 Jenevein AveSan Bruno, CA 94066-4408 · (650) 583-1793 · Fax (650) 583-1826
Phone(650) 583-1793
Fax(650) 583-1826
Sole ProprietorNo
Enumeration DateMarch 1, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1760459531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 37184
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
560 JENEVEIN AVE, San Bruno, CA 94066
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Other Providers at the Same Location NPPES 5

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

ARMAN KIRAKOSIAN DPM INC
Podiatrist (Foot & Ankle Surgery)
560 JENEVEIN AVE
SAN BRUNO, CA 94066
San Mateo County (650) 588-9189
ROBERT EDWARD TANG D.P.M.
Podiatrist (Foot & Ankle Surgery)
560 JENEVEIN AVE
SAN BRUNO, CA 94066
San Mateo County (650) 588-9189
DR. ARMAN A KIRAKOSIAN DPM
Podiatrist (Foot & Ankle Surgery)
560 JENEVEIN AVE
SAN BRUNO, CA 94066
San Mateo County (650) 588-9189
DR. LEI LUO D.D.S.
Dentist (General Practice)
560 JENEVEIN AVE
SAN BRUNO, CA 94066
San Mateo County (650) 583-6032
ROBERT TANG DPM INC
Podiatrist (Foot & Ankle Surgery)
560 JENEVEIN AVE
SAN BRUNO, CA 94066
San Mateo County (650) 588-9189

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 Randal Wong's NPI number?

The NPI number for Randal Wong is 1760459531. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is Randal Wong located?

Randal Wong practices at 560 Jenevein Ave, San Bruno, CA 94066. The listed phone number is (650) 583-1793.

What is Randal Wong's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Randal Wong was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.