DEBORAH F WONG MD - NPI 1952363178 - General Practice in Sonora, CA

Q: What is Deborah Wong's NPI number?

The NPI number for Deborah Wong is 1952363178. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Q: What is Deborah Wong's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Deborah Wong was last updated on August 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Deborah F Wong Md NPPES

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

DEBORAH F WONG MD (NPI 1952363178) is an individual general practice provider in Sonora, California, licensed in California (G64641) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (1987).

NPPES Registry Identity

NPI1952363178

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameDEBORAH F WONGCredential: MD

Location Address13975 MONO WAY STE GSonora, CA 95370-2824

Mailing AddressPo Box 939Angels Camp, CA 95222-0939 · (209) 754-6262

Phone(209) 533-9600

Fax(209) 533-9608

Sole ProprietorYes

Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1987

Enumeration DateApril 4, 2006

Last NPPES UpdateAugust 27, 20242 updates tracked since enumeration

NPPES CertifiedAugust 27, 2024

✔ NPI 1952363178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in CA · G64641

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedFamily MedicineTaxonomy 207Q00000X · License G64641 (CA)

13975 MONO WAY STE G, Sonora, CA 95370

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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)

Deborah F Wong Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002879624

PECOS Enrollment IDI20041104001105, I20241127000754

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 6

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

KATHY EVELYN DI GIACOMO AMFT

Marriage & Family Therapist