Individual provider Active NPI

David Alexander Ngo, DO

  • Psychiatry Physician
  • San Jose, CA
National Provider Identifier
1245610948
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A15286 Issued in CA
Practice address
1555 Parkmoor Ave
San Jose, CA 95128-2407
Phone
(408) 282-0402
NPI assigned
Jun 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20A15286 CA Primary

Addresses

Primary practice location

1555 Parkmoor Ave
San Jose, CA 95128-2407

Mailing address

16835 Algonquin St # 438
Huntington Beach, CA 92649-3810

Other practice location 1

265 S Anita Dr Ste 102
Orange, CA 92868-3335
Phone (714) 410-3500

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
I20190726000797 CA Practitioner - Psychiatry 0547596603 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hope ServicesGroup PAC ID 5597716233, 29 clinicians

Practice addresses (Care Compare)

1555 Parkmoor Ave
San Jose, CA 95128-2407
Phone (408) 282-0402

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A15286CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Services CurrentSince Mar 20, 2022 Accepting new patients
Hope Services CurrentSince Jun 15, 2021 Accepting new patients
Mellow Medical Inc a Professional Corporation Psychiatry CurrentSince Jul 1, 2019 Accepting new patients

Locations

12301 Wilshire Blvd
Ste 512
Los Angeles, CA 90025
Phone (888) 284-2779

4685 MacArthur Ct
Ste 340
Newport Beach, CA 92660
Phone (949) 424-4544

1555 Parkmoor Ave
San Jose, CA 95128
Phone (408) 282-0402

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

8235 Santa Monica Blvd
Ste 302
West Hollywood, CA 90046
Phone (310) 892-4284

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9357/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1245610948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16835 ALGONQUIN ST # 438",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926493810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 PARKMOOR AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282407",
            "telephone_number": "408-282-0402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 S Anita Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683335",
            "country_code": "US",
            "telephone_number": "714-410-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGO",
        "first_name": "DAVID",
        "middle_name": "ALEXANDER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-08",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A15286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.