Active NPI
Dallis Quang Ngo, D.O., M.S.
- Pulmonary Disease Physician
- Pomona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 20A16871
- Practice address
- 1940 N Orange Grove Ave Ste a
Pomona, CA 91767-3002 - Phone
- (909) 865-6900
- Fax
- (909) 865-6300
- NPI assigned
- Mar 29, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 2022013108 | MO | |
| Pulmonary Disease Physician | 207RP1001X | 20A16871 | CA | Primary |
Addresses
Primary practice location
1940 N Orange Grove Ave Ste a
Pomona, CA 91767-3002
Mailing address
840 Towne Center Dr
Pomona, CA 91767-5900
Phone (909) 398-1550
Other practice location 1
240 Easton Ave
New Brunswick, NJ 08901-1723
Phone (000) 000-0000
Other practice location 2
625 S New Ballas Rd Ste 7020
Saint Louis, MO 63141-8218
Phone (314) 251-6486
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chaparral Medical Group Inc
Practice addresses (Care Compare)
1940 N Orange Grove Ave
Pomona, CA 91767-3002
Phone (909) 865-6900
8330 Red Oak St
Suite 201
Rancho Cucamonga, CA 91730-0603
Phone (909) 987-2528
Hospital & facility affiliations
- Pomona Valley Hospital Medical Center
- San Antonio Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.08 of 100
- Quality
- 40.87
- Promoting interoperability
- 75
- Improvement activities
- 40
- Cost
- 74.84
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A16871 | CA | MD | Pulmonary Disease Physician |
| 16871 | CA | MD | Medical Physician Assistant |
| 2022013108 | MO | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Chaparral Medical Group, Inc. | Current | Accepting new patients | |
| Chaparral Medical Group Inc. | Current | Accepting new patients | |
| Chaparral Medical Group, Inc. | Current | Accepting new patients | |
| Dallis Ngo DO Inc | Pulmonary Disease | Current | Accepting new patients |
| Chaparral Medical Group, Inc. | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| San Antonio Regional Hospital | Past | Accepting new patients | |
| Chaparral Medical Group Inc | Past | Accepting new patients |
Locations
9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910
393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235
1801 W Olympic Blvd
Pasadena, CA 91199
840 Towne Center Dr
Pomona, CA 91767
1940 N Orange Grove Ave
Ste A
Pomona, CA 91767
Phone (909) 629-0444
1904 N Orange Grove Ave
Ste A
Pomona, CA 91767
1940 N Orange Grove Ave
Pomona, CA 91767
Phone (909) 620-8443
1866 N Orange Grove Ave
Ste 202
Pomona, CA 91767
Phone (909) 623-8796
9190 Haven Ave
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 581-6732
8330 Red Oak St
Ste 201
Rch Cucamonga, CA 91730
Phone (909) 987-1730
585 N Mountain Ave
Ste A
Upland, CA 91786
Phone (909) 608-7546
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 10
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.
-
- Dermatology Physician
- Rancho Cucamonga, CA
- NPI 1093777666
-
- Orthopaedic Surgery Physician
- Pomona, CA
- NPI 1477733624
-
- Health Maintenance Organization
- Riverside, CA
- NPI 1316979834
-
- Pulmonary Disease Physician
- Chino Hills, CA
- NPI 1801725403
-
- Cardiovascular Disease Physician
- Upland, CA
- NPI 1639869605
-
- Neurological Surgery Physician
- San Bernardino, CA
- NPI 1194993055
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Health Maintenance Organization
- Fontana, CA
- NPI 1316463763
-
- Endocrinology, Diabetes & Metabolism Physician
- Pomona, CA
- NPI 1114989241
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1407813660
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1174055149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 TOWNE CENTER DR",
"city": "POMONA",
"state": "CA",
"postal_code": "917675900",
"telephone_number": "909-398-1550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940 N ORANGE GROVE AVE STE A",
"city": "POMONA",
"state": "CA",
"postal_code": "917673002",
"telephone_number": "909-865-6900",
"fax_number": "909-865-6300"
}
],
"practiceLocations": [
{
"address_1": "240 Easton Ave",
"address_purpose": "LOCATION",
"city": "New Brunswick",
"state": "NJ",
"postal_code": "089011723",
"country_code": "US",
"telephone_number": "000-000-0000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "625 S New Ballas Rd Ste 7020",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631418218",
"country_code": "US",
"telephone_number": "314-251-6486",
"fax_number": "314-251-4155",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGO",
"first_name": "DALLIS",
"middle_name": "QUANG",
"name_prefix": "Dr.",
"credential": "D.O., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-29",
"last_updated": "2024-10-25",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MO",
"license": "2022013108",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "20A16871",
"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": "9961 Sierra Ave",
"city": "Fontana",
"state": "CA",
"country_code": "US",
"postal_code": "923356720",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.