Individual provider Active NPI

Jacqueline Ngo

  • Neurology with Special Qualifications in Child Neurology Physician
  • Long Beach, CA
National Provider Identifier
1215499637
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
1215499637 Issued in CA
Practice address
2880 Atlantic Ave Ste 260
Long Beach, CA 90806-1716
Phone
(562) 490-3580
NPI assigned
Apr 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 1215499637 CA Primary

Addresses

Primary practice location

2880 Atlantic Ave Ste 260
Long Beach, CA 90806-1716

Mailing address

2880 Atlantic Ave Ste 260
Long Beach, CA 90806-1716
Phone (562) 490-3580

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
I20250821000956 CA Practitioner - Neurology 5193105765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of California, Geffen School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adult and Child Neurology Medical Associates IncGroup PAC ID 1355437914, 5 clinicians

Practice addresses (Care Compare)

2880 Atlantic Ave
Suite 260
Long Beach, CA 90806-1716
Phone (562) 490-3580

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1215499637CAMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adult & Child Neurology Medical Associates Inc. CurrentSince Aug 28, 2025 Accepting new patients

Locations

2880 Atlantic Ave
Ste 260
Long Beach, CA 90806
Phone (562) 426-3319

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jngo614154@direct.memorialcare.org

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": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1215499637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 ATLANTIC AVE STE 260",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061716",
            "telephone_number": "562-490-3580",
            "fax_number": "562-490-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 ATLANTIC AVE STE 260",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061716",
            "telephone_number": "562-490-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "CA",
            "license": "1215499637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.