Organization Active NPI

Nhanhau Ngo MD Inc

  • Family Medicine Physician
  • Westminster, CA
National Provider Identifier
1164455226
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NHANHAU NGO MD INC
Practice address
8341 Westminster Blvd
Suite 104
Westminster, CA 92683-3306
Phone
(714) 244-5214
NPI assigned
Jul 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nhanhau Ngo, MDNPI 1336184316
Title
President
Phone
(714) 244-5214

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

8341 Westminster Blvd
Suite 104
Westminster, CA 92683-3306

Mailing address

9370 Sinclair Cir
Westminster, CA 92683-5631
Phone (714) 244-5214

Other identifiers 1

IdentifierTypeStateIssuer
W19110OtherCAPIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050722000535 CA Part B Supplier - Clinic/Group Practice 6406883248 Receives reassigned benefits from 2 practitioners
Practice locations: Garden Grove, CA

National Provider Directory

National Provider Directory

Locations

12692 Brookhurst St
Garden Grove, CA 92840
Phone (714) 537-1472

8341 Westminster Blvd
Ste 104
Westminster, CA 92683
Phone (714) 244-5214

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164455226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9370 SINCLAIR CIR",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835631",
            "telephone_number": "714-244-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8341 WESTMINSTER BLVD",
            "address_2": "SUITE 104",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833306",
            "telephone_number": "714-244-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NHANHAU NGO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "NHANHAU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-244-5214",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "W19110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.