| Priscilla Dik-chin Wong, MD | |
|
5555 W Las Positas Blvd, Pleasanton, CA 94588-4000 | |
| (925) 416-3544 | |
| Not Available |
| Full Name | Priscilla Dik-chin Wong |
|---|---|
| Gender | Female |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 5555 W Las Positas Blvd, Pleasanton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417909722 | NPI | - | NPPES |
| 00G671480 | Other | CA | BLUE SHIELD OF CA |
| 00G671480 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | G67148 (California) | Primary |
| Entity Name | Stanford Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348 |
| Entity Name | Pacific Medical Imaging And Oncology Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407963275 PECOS PAC ID: 5496771404 Enrollment ID: O20051019000629 |
| Entity Name | Palms Imaging Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851347272 PECOS PAC ID: 9638184815 Enrollment ID: O20060208000736 |
| Entity Name | Radadvantage A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20090917000455 |
| Mailing Address | Practice Location Address |
|---|---|
| Priscilla Dik-chin Wong, MD 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000 | Priscilla Dik-chin Wong, MD 5555 W Las Positas Blvd, Pleasanton, CA 94588-4000 Ph: (925) 416-3544 |
Brooke Caldwell, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5725 W Las Positas Blvd, Pleasanton, CA 94588 Phone: 925-416-6789 Fax: 925-416-6758 | |
Myrna Ayde Castelazo, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5555 W Las Positas Blvd, Pleasanton, CA 94588 Phone: 925-416-6789 | |
Ralph Tinghan Ho, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 5555 W Las Positas Blvd, Pleasanton, CA 94588 Phone: 925-416-3540 | |
Ashley Caitlin Altman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5555 W Las Positas Blvd, Pleasanton, CA 94588 Phone: 925-416-3544 |