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BRANDON DAVID WONG
NPI 1114506664
Student in an Organized Health Care Education/Training Program in Santa Ana, CA

Active since April 02, 2021PECOS EnrolledAccepts Medicare Assignment
1900 E 4TH ST, SANTA ANA, CA 92705(415) 760-8499 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 6, 2021, Apr 2, 2021 (2 updates tracked since 2021).

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

NPI1114506664
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRANDON DAVID WONG
Location Address1900 E 4TH STSanta Ana, CA 92705-3910
Mailing Address1900 E 4th StSanta Ana, CA 92705-3910
Phone(415) 760-8499
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 2, 2021
Last NPPES UpdateDecember 6, 20212 updates tracked since enumeration
NPPES CertifiedApril 2, 2021
✔ NPI 1114506664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.

1900 E 4TH ST, Santa Ana, CA 92705
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Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID1456884261
PECOS Enrollment IDI20241101000474
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.

MISS ERIN ESPINOZA LCSW
Social Worker (Clinical)
1900 E 4TH ST, 2ND FLOOR, DEPT OF PSYCHIATRY
SANTA ANA, CA 92705
Orange County (714) 967-4587
MS. KAY DRYSDALE L.C.S.W.
Social Worker (Clinical)
1900 E 4TH ST, 200
SANTA ANA, CA 92705
Orange County (714) 667-6069
DR. LORI MARANTZ M.D.
Psychiatry & Neurology (Psychiatry)
1900 E 4TH ST, 2ND FLOOR
SANTA ANA, CA 92705
Orange County (888) 988-2800
MARGARET AMY CHEN M.D.
Family Medicine
1900 E 4TH ST, FAMILY MEDICINE, 2ND FLOOR
SANTA ANA, CA 92705
Orange County (714) 261-3535
DR. CURTIS LEE WITCHER M.D.
Family Medicine
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (888) 988-2800
JANE MARIE MULVEY LCSW
Social Worker (Clinical)
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (917) 533-7022
ANH NGOC TRAN MD
Psychiatry & Neurology (Psychiatry)
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 796-4800
MS. NANCY ANNE LENTZNER LCSW, BCD
Social Worker (Clinical)
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (949) 436-1782

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.

When was this NPI record last updated?

The NPPES record for Brandon Wong was last updated on December 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.