Healthcare Provider Details

I. General information

NPI: 1265463442
Provider Name (Legal Business Name): DON F WONG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

980 TRANCAS ST STE 4
NAPA CA
94558-2933
US

IV. Provider business mailing address

980 TRANCAS ST STE 4
NAPA CA
94558-2933
US

V. Phone/Fax

Practice location:
  • Phone: 707-253-7337
  • Fax: 707-253-1288
Mailing address:
  • Phone: 707-253-7337
  • Fax: 707-253-1288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberG40577
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberG40577
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: