Active NPI
Larry Ngo, M.D.
- Neonatal-Perinatal Medicine Physician
- Loma Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- A129273
- Practice address
- 11234 Anderson St
Graduate Medical Education Office CSP 21005
Loma Linda, CA 92354 - Phone
- (909) 558-4174
- NPI assigned
- Apr 30, 2012
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A129273 | CA | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | A129273 | CA | Primary |
Addresses
Primary practice location
11234 Anderson St
Graduate Medical Education Office CSP 21005
Loma Linda, CA 92354
Mailing address
11234 Anderson St
Loma Linda, CA 92354-2804
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
- Pediatric Medicine
- Education
- Saint Louis University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11234 Anderson St
Loma Linda, CA 92354-2804
11370 Anderson St
Loma Linda, CA 92354-3450
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A129273 | CA | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Pediatrics | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Past | Accepting new patients | |
| Loma Linda University Children'S Hospital | Past | Accepting new patients | |
| Physicians' Hospital of Murrieta, LLC | Past | Accepting new patients | |
| Loma Linda University Medical Center | Past | Accepting new patients | |
| Riverside Healthcare System, L.P. | Past | Accepting new patients |
Locations
7223 Church St
Ste C1
Highland, CA 92346
Phone (909) 425-3946
11370 Anderson St
Ste 1800
Loma Linda, CA 92354
Phone (909) 558-2154
11234 Anderson St
#3400
Loma Linda, CA 92350
Phone (909) 558-4771
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617
11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
26780 Barton Rd
Redlands, CA 92373
Phone (909) 558-5174
Interoperability endpoints
- lngo24232@direct.llu.edu
Organizations & group practices 9
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529971200000",
"number": "1285992016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11234 ANDERSON ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923542804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11234 ANDERSON ST",
"address_2": "GRADUATE MEDICAL EDUCATION OFFICE CSP 21005",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "92354",
"telephone_number": "909-558-4174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGO",
"first_name": "LARRY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-30",
"last_updated": "2018-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A129273",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "CA",
"license": "A129273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.