NPIMap

Individual provider Active NPI

Michael Gong-Ruey Ho, M.D.

  • Neurology Physician
  • Santa Monica, CA
National Provider Identifier
1013171834
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A108864 Issued in CA
Practice address
1801 Wilshire Blvd Ste 100
Santa Monica, CA 90403-5609
Phone
(310) 319-5098
NPI assigned
Jul 10, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A108864 CA Primary

Addresses

Primary practice location

1801 Wilshire Blvd Ste 100
Santa Monica, CA 90403-5609

Mailing address

1801 Wilshire Blvd
Suite 100
Santa Monica, CA 01803
Phone (310) 319-5098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150717002251 CA Practitioner - Neurology 1557514627 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of California, San Francisco School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the University of California Los AngelesGroup PAC ID 4587857727, 84 clinicians

Practice addresses (Care Compare)

1801 Wilshire Blvd
Santa Monica, CA 90403-5609
Phone (310) 319-5098

2100 Lynn Rd
Suite 230
Thousand Oaks, CA 91360-8035
Phone (805) 497-4500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A108864CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Neurology CurrentSince Feb 1, 2020 Accepting new patients
Martin Luther King Jr Community Medical Foundation Neurology CurrentSince Dec 10, 2016 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Dec 10, 2016 Accepting new patients
Martin Luther King Jr Community Medical Foundation Neurology Current Accepting new patients
The Regents of the University of California Neurology Current Accepting new patients
Regents of the University of California Los Angeles Neurology CurrentSince Jul 1, 2015 Accepting new patients
The Regents of the University of California CurrentSince Feb 1, 2020 Accepting new patients
Beth Israel Deaconess Hospital Plymouth, Inc. Past Accepting new patients
UCLA Medical Group Neurology Past Accepting new patients
Martin Luther King, Jr. - Los Angeles (MLK-la) Healthcare Corporation Past Accepting new patients
Providence Saint John's Health Center Past Accepting new patients
Jordan Physician Associates, Inc. Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
Jordan Physician Associates, Inc. Past Accepting new patients
The Regents of the University of California Past Accepting new patients

Locations

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

2251 W Rosecrans Ave
Ste 21
Compton, CA 90222
Phone (424) 338-8792

300 Medical Plz
Ste B200
Los Angeles, CA 90095
Phone (310) 794-6596

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

1801 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 319-5098

1801 Wilshire Blvd
#100
Santa Monica, CA 90403
Phone (310) 319-5098

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mho22387@direct.uclahealth.org

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013171834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 WILSHIRE BLVD",
            "address_2": "SUITE 100",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "01803",
            "telephone_number": "310-319-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 WILSHIRE BLVD STE 100",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035609",
            "telephone_number": "310-319-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "MICHAEL",
        "middle_name": "GONG-RUEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A108864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.