Individual provider Active NPI

Anh Tuan Huu Ngo, M.D.

  • Family Medicine Physician
  • South El Monte, CA
National Provider Identifier
1194266460
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A160236 Issued in CA
Practice address
9646 Garvey Ave Ste 101
South El Monte, CA 91733-4600
Phone
(626) 450-0777
NPI assigned
Mar 20, 2017
Last updated
Feb 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X A160236 CA Primary

Addresses

Primary practice location

9646 Garvey Ave Ste 101
South El Monte, CA 91733-4600

Mailing address

9646 Garvey Ave Ste 101
South El Monte, CA 91733-4600
Phone (626) 450-0777

Other practice location 1

555 E Tachevah Dr
Suite 2E-204
Palm Springs, CA 92262-5750
Phone (760) 561-7344

Other identifiers 1

IdentifierTypeStateIssuer
100174945MedicaidCA

Other names 1

  • Anthony Ngo Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL practicefusion.com Health Information Exchange (HIE)

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200511002490 CA Practitioner - Family Practice 6002247871 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9646 Garvey Ave
Suite 101
South El Monte, CA 91733-4600
Phone (626) 450-0777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A160236CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hy Phung Ngo MD Inc Single Specialty CurrentSince May 5, 2020 Accepting new patients
San Gabriel Valley Health Inc. Single Specialty CurrentSince Jan 21, 2022 Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
Ahmc Monterey Park Hospital LP Past Accepting new patients

Locations

5801 S Figueroa St
Los Angeles, CA 90003
Phone (323) 750-0030

625 E Valley Blvd
Ste Hi
San Gabriel, CA 91776
Phone (626) 572-4658

625 E Valley Blvd
Ste Hig
San Gabriel, CA 91776
Phone (626) 572-4658

9646 Garvey Ave
Ste 101
South El Monte, CA 91733
Phone (626) 450-0777

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1194266460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9646 GARVEY AVE STE 101",
            "city": "SOUTH EL MONTE",
            "state": "CA",
            "postal_code": "917334600",
            "telephone_number": "626-450-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9646 GARVEY AVE STE 101",
            "city": "SOUTH EL MONTE",
            "state": "CA",
            "postal_code": "917334600",
            "telephone_number": "626-450-0777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 E Tachevah Dr",
            "address_2": "Suite 2E-204",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922625750",
            "country_code": "US",
            "telephone_number": "760-561-7344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGO",
        "first_name": "ANH TUAN",
        "middle_name": "HUU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A160236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100174945",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "Electronic Medical Record",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9646 Garvey Ave Ste 101",
            "city": "South El Monte",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917334600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANTHONY",
            "last_name": "NGO",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South El Monte, CA

Sources for this page

Verify at the official NPI Registry.