SAMANTHA WONG BA
NPI 1104706647
Student in an Organized Health Care Education/Training Program in Honolulu, HI

Active since September 04, 2025PECOS Enrolled
651 ILALO ST, HONOLULU, HI 96813(808) 692-0899 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samantha Wong Ba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA WONG BA (NPI 1104706647) is an individual student in an organized health care education/training program in Honolulu, Hawaii and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104706647
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAMANTHA WONGCredential: BA
Location Address651 ILALO STHonolulu, HI 96813-5525
Mailing Address651 Ilalo StHonolulu, HI 96813-5525 · (808) 692-0899
Sole ProprietorNo
Enumeration DateSeptember 4, 2025
NPPES CertifiedSeptember 4, 2025
NPI 1104706647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

651 ILALO ST, Honolulu, HI 96813

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samantha Wong Ba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
651 ILALO ST
HONOLULU, HI 96813
Student in an Organized Health Care Education/Training Program
651 ILALO ST
HONOLULU, HI 96813
Internal Medicine
651 ILALO ST
HONOLULU, HI 96813
Student in an Organized Health Care Education/Training Program
651 ILALO ST
HONOLULU, HI 96813
Internal Medicine (Infectious Disease)
651 ILALO ST
HONOLULU, HI 96813
Student in an Organized Health Care Education/Training Program
651 ILALO ST
HONOLULU, HI 96813
Student in an Organized Health Care Education/Training Program
651 ILALO ST, MEB #401A
HONOLULU, HI 96813
Acupuncturist
651 ILALO ST, SUITE 101
HONOLULU, HI 96813

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Wong's NPI number?

The NPI number for Samantha Wong is 1104706647. It was assigned to this individual provider in the NPPES registry on September 4, 2025.

Where is Samantha Wong located?

Samantha Wong practices at 651 Ilalo St, Honolulu, HI 96813. The listed phone number is (808) 692-0899.

What is Samantha Wong's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samantha Wong enrolled in Medicare?

Yes. Samantha Wong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Wong was last updated on September 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.