National Provider Identifier Database

DEREK P GONG, MD – NPI #1184671513
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.


Contact Information

DEREK P GONG, MD
16319 THIRD STREET
SANTA ROSA, CA95409
Phone: 707-869-2849
Fax: 707-869-1477
Website:
Specialty Taxonomy Code
* Internal Medicine 207R00000X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for DEREK P GONG

NPI Number 1184671513
Credentials MD
Entity Individual
Enumeration date 05/30/2006
Last updated 11/28/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • CA License #: A66344
  • CA Medicaid: 00A663440
  • CA Medicaid: FHC03887F
  • CA Other: ZZZ73222Z GROUP PTAN
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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