| Gordon W Wong, MD | |
|
15400 National Ave, Suite 100, Los Gatos, CA 95032-2433 | |
| (408) 358-8400 | |
| (408) 358-2793 |
| Full Name | Gordon W Wong |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 22 Years |
| Location | 15400 National Ave, Los Gatos, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235172446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 48162 (Wisconsin) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | A102501 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Good Samaritan Hospital | San jose, CA | Hospital |
| Stanford Health Care | Stanford, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regents Of The University Of California - Ucsf | 3375822471 | 72 |
| Epic Care | 5890053094 | 40 |
| Entity Name | Regents Of The University Of California - Ucsf |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265890263 PECOS PAC ID: 3375822471 Enrollment ID: O20161114000177 |
| Entity Name | Epic Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780107797 PECOS PAC ID: 5890053094 Enrollment ID: O20171215002809 |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon W Wong, MD 15400 National Ave, Suite 100, Los Gatos, CA 95032-2433 Ph: (408) 358-8400 | Gordon W Wong, MD 15400 National Ave, Suite 100, Los Gatos, CA 95032-2433 Ph: (408) 358-8400 |
Dr. Dipa H. Patel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 15195 National Ave, Suite 201, Los Gatos, CA 95032 Phone: 408-800-5247 Fax: 408-356-5526 | |
Ravi Singh, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 15405 Los Gatos Blvd, Ste 104, Los Gatos, CA 95032 Phone: 408-402-0770 | |
Deepak Khuntia, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 15400 National Ave Ste 100, Los Gatos, CA 95032 Phone: 408-358-8400 | |
Scott Lieberman, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 15466 Los Gatos Blvd, Ste 109-280, Los Gatos, CA 95032 Phone: 408-358-0334 | |
Dr. Scott Brandman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 14651 S Bascom Ave Ste 120, Los Gatos, CA 95032 Phone: 408-356-9013 Fax: 408-356-9014 | |
Rakesh R Patel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 15400 National Ave, Suite 100, Los Gatos, CA 95032 Phone: 408-358-8400 Fax: 408-358-2793 |