Active NPI
Danh Ngo, PT, DPT, OCS, SCS
- Orthopedic Physical Therapist
- Long Beach, CA
National Provider Identifier
1053628735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 30350
- Practice address
- 3646 Long Beach Blvd Ste 106
Long Beach, CA 90807-6025 - Phone
- (562) 548-0876
- Fax
- (888) 510-3678
- NPI assigned
- Sep 2, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 30350 | CA | Primary |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | PT30340 | CA |
Addresses
Primary practice location
3646 Long Beach Blvd Ste 106
Long Beach, CA 90807-6025
Mailing address
3646 Long Beach Blvd Ste 106
Long Beach, CA 90807-6025
Phone (562) 548-0876
Other practice location 1
1428 E 59th St
Long Beach, CA 90805-4345
Phone (562) 308-8893
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30350 | CA | MD | General Practice Dentistry |
| PT30340 | CA | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revitalize Rehab Club | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
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": "1283385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1053628735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3646 LONG BEACH BLVD STE 106",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908076025",
"telephone_number": "562-548-0876",
"fax_number": "888-510-3678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3646 LONG BEACH BLVD STE 106",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908076025",
"telephone_number": "562-548-0876",
"fax_number": "888-510-3678"
}
],
"practiceLocations": [
{
"address_1": "1428 E 59th St",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908054345",
"country_code": "US",
"telephone_number": "562-308-8893",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGO",
"first_name": "DANH",
"name_prefix": "Dr.",
"credential": "PT, DPT, OCS, SCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-02",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "30350",
"primary": true
},
{
"code": "2081S0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "CA",
"license": "PT30340",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.