Active NPI
Maian Ngo
- Family Nurse Practitioner
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95014137
- Practice address
- 8445 Camino Santa Fe Ste 215
San Diego, CA 92121-2650 - Phone
- (855) 839-8878
- NPI assigned
- Jun 19, 2023
- Last updated
- Feb 3, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95014137 | CA | Primary |
| Registered Nurse | 163W00000X | 95092615 | CA |
Addresses
Primary practice location
8445 Camino Santa Fe Ste 215
San Diego, CA 92121-2650
Mailing address
8445 Camino Santa Fe Ste 215
San Diego, CA 92121-2650
Other practice location 1
4695 MacArthur Ct # 1112A
Newport Beach, CA 92660-1882
Phone (949) 520-1490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95092615 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Care Wellness Medical Center Inc. | Current | Accepting new patients | |
| Geri Connection | Current | Accepting new patients | |
| Bay View Health Solutions | Current | Accepting new patients | |
| Myndfull Care Management California PC | Current | Accepting new patients | |
| Del Sur Healthcare | Current | Accepting new patients | |
| Myndfull Care California PC | Current | Accepting new patients |
Locations
1999 S Bascom Ave
Ste 700
Campbell, CA 95008
Phone (760) 978-8596
436 S Magnolia Ave
Ste 101
El Cajon, CA 92020
Phone (760) 978-8596
15644 Pomerado Rd
Ste 202
Poway, CA 92064
Phone (619) 320-8090
6280 Jackson Dr
Ste 8
San Diego, CA 92119
Phone (619) 464-1607
8445 Camino Santa Fe
Ste 215
San Diego, CA 92121
Phone (619) 541-3246
9436 W Lake Mead Blvd
Ste 5
Las Vegas, NV 89134
Phone (702) 328-7648
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Geriatric Medicine (Internal Medicine) Physician
- Campbell, CA
- NPI 1508665779
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1447874516
-
- Geriatric Medicine (Internal Medicine) Physician
- El Cajon, CA
- NPI 1891515953
-
- Family Medicine Physician
- Poway, CA
- NPI 1447976907
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1912699703
-
- Clinic/Center
- San Diego, CA
- NPI 1770206435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706918400000",
"number": "1174208110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8445 CAMINO SANTA FE STE 215",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921212650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8445 CAMINO SANTA FE STE 215",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921212650",
"telephone_number": "855-839-8878"
}
],
"practiceLocations": [
{
"address_1": "4695 MacArthur Ct # 1112A",
"address_purpose": "LOCATION",
"city": "Newport Beach",
"state": "CA",
"postal_code": "926601882",
"country_code": "US",
"telephone_number": "949-520-1490",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGO",
"first_name": "MAIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-19",
"last_updated": "2024-02-03",
"certification_date": "2024-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95014137",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95092615",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.