Granger B Wong M D Inc
NPI 1609922962 · Plastic Surgery Physician · Roseville, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Granger B Wong M D Inc is a Plastic Surgery Physician organization in Roseville, CA (NPI 1609922962).
Provider details
- NPI number
- 1609922962
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Granger Wong, President(916) 791-7088
- License
- A54333 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-26
- Last updated
- 2015-07-01
Frequently asked questions
- What is Granger B Wong M D Inc's NPI number?
- Granger B Wong M D Inc's National Provider Identifier (NPI) is 1609922962, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Granger B Wong M D Inc?
- Granger B Wong M D Inc is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Granger B Wong M D Inc located?
- Granger B Wong M D Inc's practice location on file with NPPES is 576 N Sunrise Ave, Roseville, CA 95661-2841.
- What is Granger B Wong M D Inc's phone number?
- The practice phone number listed in the NPPES registry for Granger B Wong M D Inc is (916) 791-7088.
- Does Granger B Wong M D Inc accept Medicare?
- Granger B Wong M D Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Granger B Wong M D Inc?
- The authorized official listed on Granger B Wong M D Inc's NPPES record is Granger Wong, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Granger B Wong M D Inc's NPI active?
- Yes — Granger B Wong M D Inc's NPI (1609922962) is active in the NPPES registry as of the last update on 2015-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.