Tuyen Ngoc Ngo, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

A460240 Issued in CA

Practice address

1865 Alum Rock Ave
Suite a
San Jose, CA 95116-1396

Phone

(408) 258-3229

NPI assigned

Sep 13, 2006

Last updated

Jun 20, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pain Rehab Care Medical Clinic, Inc

  • Specialist
  • San Jose, CA
  • NPI 1447418108
  Authorized official Same address or phone
• Premier Care Ipa

  • Health Maintenance Organization
  • San Jose, CA
  • NPI 1497919112
  NPD (past) Authorized official

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1023113123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 ALUM ROCK AVENUE",
            "address_2": "SUITE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 ALUM ROCK AVE",
            "address_2": "SUITE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161396",
            "telephone_number": "408-258-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "TUYEN",
        "middle_name": "NGOC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A460240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A460240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trang Hai Ngo
• Trung Ba Ngo, PHARMD
• Tuan Ngo, DDS
• Tuan Hoang Ngo, D.C.
• Tuan Kim Ngo, D.C.
• Uyen Thanh Ngo, OD
• Van Thu Ngo
• Vincent Ngo
• Vincent Duc Ngo, AMFT
• Ngoc Nguyen MD Inc

• Specialist in San Jose, CA
• Providers in San Jose, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.