Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Granger Bradford Wong, MD, DMD, FACS

Individual provider Ph.D. Medical Genetics · NPI 1225013790

Dr. Granger Bradford Wong, MD, DMD, FACS is a Plastic and Reconstructive Surgery in Sacramento, California. Graduated from University of Nebraska College of Medicine in 1992, 34 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
34
Trained at
University of Nebraska College of Medicine
Licensed in
CA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
FACS — Fellow of the American College of Surgeons
A surgeon admitted as a fellow of the ACS.

See every abbreviation used in this directory →

Practice location Address checks out

2221 Stockton Blvd
Sacramento, CA 95817-1418
Phone: (916) 734-2130
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence A54333 (CA)
Ph.D. Medical Genetics Taxonomy 170100000X · Licence A54333 (CA)

Record details

NPI number1225013790
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , DMD , FACS
Sole proprietorYes
NPI enumeratedDecember 7, 2005
Last updated in NPPESMarch 10, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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