Individual provider Active NPI

Tri Minh Ngo, M.D.

  • Diagnostic Radiology Physician
  • Orange, CA
National Provider Identifier
1073804837
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A125189 Issued in CA
Practice address
101 The City Dr S
Orange, CA 92868-3201
Phone
(714) 456-3685
NPI assigned
Apr 28, 2011
Last updated
Dec 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A125189 CA Primary

Addresses

Primary practice location

101 The City Dr S
Orange, CA 92868-3201

Mailing address

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 768-8528

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160324001570 CA Practitioner - Diagnostic Radiology 1456658004 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical Branch at Galveston, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moran Rowen and Dorsey IncGroup PAC ID 9537063375, 35 clinicians
Kern County Hospital AuthorityGroup PAC ID 4688964521, 264 clinicians

Practice addresses (Care Compare)

10321 Finchley Ave
Westminster, CA 92683-5734
Phone (714) 997-4762

1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Phone (661) 326-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as group
Quality
47.69
Promoting interoperability
100
Improvement activities
40
Cost
82.27

Merit-based Incentive Payment System (MIPS)

Final score
84.56 of 100Reported as group
Quality
85.63
Improvement activities
40
Cost
74.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A125189CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Sep 2, 2019 Accepting new patients
Memorialcare Medical Foundation CurrentSince Apr 15, 2020 Accepting new patients
Orange County Heart Institute and Research Center a Medical Group CurrentSince Apr 1, 2023 Accepting new patients
Southern California Permanente Medical Group CurrentSince Sep 2, 2019 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Kern County Hospital Authority CurrentSince Jan 1, 2017 Accepting new patients
Coast Radiology Imaging and Intervention Inc Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients
Kern County Hospital Authority CurrentSince Jan 1, 2017 Accepting new patients
Moran Rowen and Dorsey Inc Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
North Oc Imaging JV, LLC CurrentSince Dec 6, 2022 Accepting new patients
Southern California Permanente Medical Group CurrentSince Sep 2, 2019 Accepting new patients
Jeffrey M. Shapiro, MD, Inc PastSince Apr 1, 2023 Accepting new patients
University of California Irvine Past Accepting new patients
Tyson C. Cobb, M.D., Inc PastSince Oct 13, 2008 Accepting new patients

Locations (25 of 39)

5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088

781 S Weir Canyon Rd
Ste 185
Anaheim, CA 92808
Phone (714) 282-8160

947 S Anaheim Blvd
Ste 125
Anaheim, CA 92805
Phone (714) 241-7000

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

9333 Rosecrans Ave
Bellflower, CA 90706
Phone (562) 461-3184

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

9333 Imperial Hwy
Downey, CA 90242
Phone (562) 657-8850

9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910

12942 Harbor Blvd
Garden Grove, CA 92840
Phone (714) 705-2120

25825 Vermont Ave
Harbor City, CA 90710
Phone (310) 325-5111

13400 Jamboree Rd
Irvine, CA 92602
Phone (714) 263-9279

31872 Coast Hwy
Laguna Beach, CA 92651
Phone (949) 499-1311

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

3828 Schaufele Ave
Ste 200
Long Beach, CA 90808
Phone (657) 241-8990

3828 Schaufele Ave
Ste 340
Long Beach, CA 90808
Phone (562) 427-5388

4733 W Sunset Blvd
Los Angeles, CA 90027
Phone (213) 667-4784

6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000

26732 Crown Valley Pkwy
Ste 171
Mission Viejo, CA 92691
Phone (714) 364-3484

27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744

27800 Medical Center Rd
Ste 108
Mission Viejo, CA 92691
Phone (949) 348-1103

1010 W La Veta Ave
Ste 400
Orange, CA 92868
Phone (714) 734-6282

1031 W Chapman Ave
Ste 101
Orange, CA 92868
Phone (714) 614-6100

1100 W Stewart Dr
Orange, CA 92868
Phone (714) 532-8620

1140 W La Veta Ave
Ste 300
Orange, CA 92868
Phone (714) 744-8711

1140 W La Veta Ave
Ste 615
Orange, CA 92868
Phone (714) 543-8555

Organizations & group practices 16

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 16

Hospital & facility affiliations 11

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": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1073804837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683201",
            "telephone_number": "714-768-8528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683201",
            "telephone_number": "714-456-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "TRI",
        "middle_name": "MINH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-28",
        "last_updated": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A125189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9333 Imperial Hwy",
            "city": "Downey",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902422812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.