Individual provider Active NPI

Elaine B. Ngo, O.D.

  • Optometrist
  • Mountain View, CA
National Provider Identifier
1316469331
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT33700-TLG Issued in CA
Practice address
495 Castro St
Mountain View, CA 94041-2086
Phone
(650) 967-6649
Fax
(650) 967-0237
NPI assigned
Jul 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT33700-TLG CA Primary

Addresses

Primary practice location

495 Castro St
Mountain View, CA 94041-2086

Mailing address

495 Castro St
Mountain View, CA 94041-2086
Phone (650) 967-6649

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180309001932 CA Practitioner - Optometry 4981965837 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Fourth Optometric Care of CaliforniaGroup PAC ID 6305210345, 25 clinicians

Practice addresses (Care Compare)

495 Castro St
Suite 200
Mountain View, CA 94041-2086
Phone (650) 967-6649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT33700-TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Optometry and Contact Lens Clinic Optometrist CurrentSince Feb 26, 2018 Accepting new patients
Fourth Optometric Care of California Optometrist CurrentSince Jan 25, 2023 Accepting new patients
Permanente Medical Group, Inc CurrentSince May 30, 2023 Accepting new patients
Permanente Medical Group Inc CurrentSince May 30, 2023 Accepting new patients
Fourth Optometric Care of California Optometrist CurrentSince Jan 25, 2023 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

495 Castro St
Ste 200
Mountain View, CA 94041
Phone (650) 967-6649

495 Castro St
Mountain View, CA 94041
Phone (650) 957-6649

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

1635 Divisadero St
San Francisco, CA 94115
Phone (415) 833-3780

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1316469331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 CASTRO ST",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940412086",
            "telephone_number": "650-967-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 CASTRO ST",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940412086",
            "telephone_number": "650-967-6649",
            "fax_number": "650-967-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "ELAINE",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT33700-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.