Individual provider Active NPI

Tung Hoang Ngo, DO

  • Internal Medicine Physician
  • Irvine, CA
National Provider Identifier
1104095256
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A10316 Issued in CA
Practice address
11 Technology Dr
Irvine, CA 92618-2302
Phone
(855) 206-6764
Fax
(949) 923-3575
NPI assigned
Feb 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A10316 CA Primary
Hospitalist Physician 208M00000X DO126121 OR
Internal Medicine Physician 207R00000X DO126121 OR
Hospitalist Physician 208M00000X 20A10316 CA

Addresses

Primary practice location

11 Technology Dr
Irvine, CA 92618-2302

Mailing address

11 Technology Dr
Irvine, CA 92618-2302
Phone (855) 206-6764

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
I20090612000140 CA Practitioner - Internal Medicine 6103976162 Reassigns benefits to 1 organization
Practice locations: Newport Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14571 Magnolia St
Suite 201
Westminster, CA 92683-5575
Phone (949) 548-5306

Hospital & facility affiliations

  • Golden Horizon Home Health Care, Inc. Home health agency, Fountain Valley, CA, CCN 757673
  • Memorialcare Orange Coast Medical Center Hospital, Fountain Valley, CA, CCN 050678

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO126121ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Tung Ngo, Inc Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients

Locations

14571 Magnolia St
Westminster, CA 92683
Phone (714) 842-1473

14571 Magnolia St
Ste 201
Westminster, CA 92683
Phone (714) 891-5453

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: tngo173689@direct.memorialcare.org
  • Direct secure messaging: tung.ngo.p7@direct.monarchhealthcare.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1203638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1104095256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 TECHNOLOGY DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182302",
            "telephone_number": "855-206-6764",
            "fax_number": "949-923-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 TECHNOLOGY DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182302",
            "telephone_number": "855-206-6764",
            "fax_number": "949-923-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "TUNG",
        "middle_name": "HOANG",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-22",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A10316",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OR",
            "license": "DO126121",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "DO126121",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "20A10316",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.