Individual provider Active NPI

Elizabeth Ngo, D.O.

  • Interventional Pain Medicine Physician
  • Visalia, CA
National Provider Identifier
1053605618
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
20A11860 Issued in CA
Practice address
5127 W Noble Ave
Visalia, CA 93277-8354
Phone
(559) 713-6515
Fax
(559) 713-6516
NPI assigned
Jun 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 20A11860 CA Primary

Addresses

Primary practice location

5127 W Noble Ave
Visalia, CA 93277-8354

Mailing address

5127 W Noble Ave
Visalia, CA 93277-8354
Phone (559) 713-6515

Other practice location 1

802 Magnolia Ave
Suite 206
Corona, CA 92879-3104
Phone (951) 547-7901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A11860CAMDInterventional Pain Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1053605618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5127 W NOBLE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778354",
            "telephone_number": "559-713-6515",
            "fax_number": "559-713-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5127 W NOBLE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778354",
            "telephone_number": "559-713-6515",
            "fax_number": "559-713-6516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 Magnolia Ave",
            "address_2": "Suite 206",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928793104",
            "country_code": "US",
            "telephone_number": "951-547-7901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGO",
        "first_name": "ELIZABETH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "20A11860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.