Individual provider Active NPI

VI Ngo, PA-C

  • Physician Assistant
  • Gilroy, CA
National Provider Identifier
1104307305
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
55899 Issued in CA
Practice address
9460 N Name Uno Ste 230
Gilroy, CA 95020-3538
Phone
(408) 847-6191
NPI assigned
Aug 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 55899 CA Primary

Addresses

Primary practice location

9460 N Name Uno Ste 230
Gilroy, CA 95020-3538

Mailing address

9460 N Name Uno Ste 230
Gilroy, CA 95020-3538

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190204003011 CA Practitioner - Physician Assistant 3870831563 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
55899CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Dec 18, 2018 Accepting new patients
Cep America - California CurrentSince Feb 1, 2019 Accepting new patients
County of Santa Clara CurrentSince Dec 18, 2018 Accepting new patients
County of Santa Clara CurrentSince Dec 18, 2018 Accepting new patients
Webster Orthopaedic Medical Group, a Professional Corporation CurrentSince Dec 8, 2018 Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

9460 No Name Uno
Ste 230
Gilroy, CA 95020
Phone (408) 384-9284

1133 E Stanley Blvd
Ste 111
Livermore, CA 94550
Phone (925) 371-5377

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

200 Porter Dr
Ste 101
San Ramon, CA 94583
Phone (925) 838-1440

Organizations & group practices 7

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": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1104307305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9460 N NAME UNO STE 230",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9460 N NAME UNO STE 230",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203538",
            "telephone_number": "408-847-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "VI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "55899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilroy, CA

Sources for this page

Verify at the official NPI Registry.