Individual provider Active NPI

Christopher Ngo, O.D.

  • Optometrist
  • San Jose, CA
National Provider Identifier
1013205228
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14536 TLG Issued in CA
Practice address
1080 S White Rd
A
San Jose, CA 95127-3821
Phone
(408) 272-3002
NPI assigned
Jul 21, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14536 TLG CA Primary
Optometrist 152W00000X 705 NV

Addresses

Primary practice location

1080 S White Rd
A
San Jose, CA 95127-3821

Mailing address

20387 Gillick Way
Cupertino, CA 95014-4412
Phone (408) 506-1539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130416000066 CA Practitioner - Optometry 0244401396 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sixth Optometric Care of California PCGroup PAC ID 1153804562, 9 clinicians

Practice addresses (Care Compare)

1080 S White Rd
Suite a
San Jose, CA 95127-3821
Phone (408) 272-3002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14536 TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
First Optometric Care of Northern California PC Optometrist CurrentSince Jul 23, 2025 Accepting new patients
First Optometric Care of Northern California PC Optometrist CurrentSince Jul 23, 2025 Accepting new patients
Desert Vision and Eye Care, LLC Optometrist Past Accepting new patients

Locations

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

5777 Greenback Ln
Ste 100
Sacramento, CA 95841
Phone (916) 231-0034

1080 S White Rd
Ste A
San Jose, CA 95127
Phone (408) 272-0820

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1013205228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20387 GILLICK WAY",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950144412",
            "telephone_number": "408-506-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 S WHITE RD",
            "address_2": "A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951273821",
            "telephone_number": "408-272-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "CHRISTOPHER",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-21",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14536 TLG",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "705",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.