Individual provider Active NPI

Erica Ngo, O.D.

  • Optometrist
  • San Mateo, CA
National Provider Identifier
1124575790
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35735 Issued in CA
Practice address
194 Hillsdale Shopping Center
San Mateo, CA 94403-3409
Phone
(650) 341-8080
Fax
(650) 341-8565
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35735 CA Primary

Addresses

Primary practice location

194 Hillsdale Shopping Center
San Mateo, CA 94403-3409

Mailing address

194 Hillsdale Shopping Center
San Mateo, CA 94403-3409
Phone (650) 341-8080

Other practice location 1

377 Santana Row Ste 1115
San Jose, CA 95128-2058
Phone (408) 502-5020

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250313001628 CA Practitioner - Optometry 8022382258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William Y to OD IncGroup PAC ID 8022440668, 5 clinicians

Practice addresses (Care Compare)

377 Santana Row
Suite 1115
San Jose, CA 95128-2058
Phone (408) 502-5020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35735CAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
William Y. to, O.D., Inc Optometrist CurrentSince Mar 4, 2025 Accepting new patients

Locations

9309 Glacier Hwy
Ste A103
Juneau, AK 99801
Phone (907) 789-3175

377 Santana Row
Ste 1115
San Jose, CA 95128
Phone (408) 502-5020

194 Hillsdale Shopping Ctr
San Mateo, CA 94403
Phone (650) 341-8080

6000 Bollinger Canyon Rd
Ste 1104
San Ramon, CA 94583
Phone (925) 725-1745

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1124575790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 HILLSDALE SHOPPING CENTER",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944033409",
            "telephone_number": "650-341-8080",
            "fax_number": "650-341-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 HILLSDALE SHOPPING CENTER",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944033409",
            "telephone_number": "650-341-8080",
            "fax_number": "650-341-8565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "377 Santana Row Ste 1115",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951282058",
            "country_code": "US",
            "telephone_number": "408-502-5020",
            "fax_number": "408-389-8261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGO",
        "first_name": "ERICA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.