BRANDON DAVID WONG
NPI 1114506664
Student in an Organized Health Care Education/Training Program in Santa Ana, CA
About Brandon David Wong NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRANDON DAVID WONG (NPI 1114506664) is an individual student in an organized health care education/training program in Santa Ana, California and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Brandon David Wong is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Brandon Wong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Anaheim, CA 92807
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
SANTA ANA, CA 92705
SANTA ANA, CA 92705
SANTA ANA, CA 92705
SANTA ANA, CA 92705
SANTA ANA, CA 92705
SANTA ANA, CA 92705
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 Brandon Wong's NPI number?
The NPI number for Brandon Wong is 1114506664. It was assigned to this individual provider in the NPPES registry on April 2, 2021.
Where is Brandon Wong located?
Brandon Wong practices at 1900 E 4th St, Santa Ana, CA 92705. The listed phone number is (415) 760-8499.
What is Brandon 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 Brandon Wong enrolled in Medicare?
Yes. Brandon Wong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Brandon Wong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Wong reassigns Medicare benefits to Southern California Permanente Medical Group (Anaheim, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brandon Wong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Brandon Wong was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Brandon David Wong · NPI 1114506664
Student in an Organized Health Care Education/Training Program provider in Santa Ana, California. Individual provider, active in the CMS NPPES registry since April 2, 2021.
## Identity
- **NPI:** 1114506664 (Entity type: Individual)
- **Enumerated:** April 2, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1900 E 4TH ST, Santa Ana, CA 92705-3910
- **Phone:** (415) 760-8499
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1952333460, Anaheim, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** December 6, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1114506664) · Data from the CMS NPPES public registry.