SAMANTHA RENEE WONG
NPI 1871242750
Pediatrics in Santa Clara, CA

Q: What is Samantha Wong's NPI number?

The NPI number for Samantha Wong is 1871242750. It was assigned to this individual provider in the NPPES registry on March 19, 2022.

Q: What is Samantha Wong's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Wong was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since March 19, 2022PECOS Enrolled

2652 EL CAMINO REAL, SANTA CLARA, CA 95051(408) 524-5952 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Samantha Renee Wong NPPES

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

SAMANTHA RENEE WONG (NPI 1871242750) is an individual pediatrics provider in Santa Clara, California, licensed in California (A189497) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (2022).

NPPES Registry Identity

NPI1871242750

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSAMANTHA RENEE WONG

Location Address2652 EL CAMINO REALSanta Clara, CA 95051-3041

Mailing AddressPo Box 276950Sacramento, CA 95827-6950

Phone(408) 524-5952

Sole ProprietorNo

Medical School CMSAlbany Medical College Of Union UniversityGraduated 2022

Enumeration DateMarch 19, 2022

Last NPPES UpdateSeptember 8, 2025

NPPES CertifiedSeptember 8, 2025

✔ NPI 1871242750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A189497

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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

PECOS PAC ID9133621386

PECOS Enrollment IDI20250905004462

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95051 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

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

LYNNE CHANG WU M.D.

Pediatrics