MEDICARE: DAVID T WONG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	G071461	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ZZZ57371Z	OTHER	CA	BC/BS

General Provider Information

NPI Number	:	1386654200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID T WONG M.D.

Provider Business Mailing Address
First Line	:	5801 NORRIS CANYON RD STE 230
Second Line	:
City	:	SAN RAMON
State	:	CA
Zip	:	94583-5440
Country	:	US
Telephone Number	:	925-275-9966
Fax Number	:

Provider Business Practice Location Address
First Line	:	5801 NORRIS CANYON RD
Second Line	:	SUITE 230
City	:	SAN RAMON
State	:	CA
Zip	:	94583-5440
Country	:	US
Telephone Number	:	925-275-9966
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	06/25/2024

Similar Medicare Providers

1063417814 — DR. SANFORD LEWIS SEVERIN M.D.
Practice Location Address:

5801 NORRIS CANYON RD , STE 200
SAN RAMON, CA
94583-5440

Practice Phone: 925-830-8823
Practice Fax: 925-866-6610

1972570752 — DR. JOHN K. FRAZIER MD
Practice Location Address:

5801 NORRIS CANYON RD , SUITE 210
SAN RAMON, CA
94583-5440

Practice Phone: 925-355-7350
Practice Fax:

1295702553 — NORMAN YAMADA PA
Practice Location Address:

5801 NORRIS CANYON RD , SUITE 210
SAN RAMON, CA
94583-5440

Practice Phone: 925-355-7350
Practice Fax:

1093783763 — WEBSTER ORTHOPAEDIC MEDICAL GROUP, A PROFESSIONAL CORPORATION
Practice Location Address:

5801 NORRIS CANYON RD , SUITE 210
SAN RAMON, CA
94583-5440

Practice Phone: 925-355-7350
Practice Fax:

1174549729 — KATHLEEN ANN GEIER NP, RN, CNS
Practice Location Address:

5801 NORRIS CANYON RD , SUITE 210
SAN RAMON, CA
94583-5440

Practice Phone: 925-355-7350
Practice Fax: 925-244-1457

1184635955 — SAN RAMON ENDOSCOPY CENTER LLC
Practice Location Address:

5801 NORRIS CANYON RD , SUITE 220
SAN RAMON, CA
94583-5440

Practice Phone: 925-275-9966
Practice Fax:

Directions to “ DAVID T WONG M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.