Active NPI
Luna Thanh Ngo, DMD
- Dentist
- Blythe, CA
National Provider Identifier
1326862293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS110942
- Practice address
- 191 S 5TH St
Blythe, CA 92225-2601 - Phone
- (714) 878-5184
- NPI assigned
- Nov 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS110942 | CA | Primary |
Addresses
Primary practice location
191 S 5TH St
Blythe, CA 92225-2601
Mailing address
9315 Bolsa Ave PMB #118
Westminster, CA 92683-5902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS110942 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1326862293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9315 BOLSA AVE PMB #118",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926835902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 S 5TH ST",
"city": "BLYTHE",
"state": "CA",
"postal_code": "922252601",
"telephone_number": "714-878-5184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGO",
"first_name": "LUNA",
"middle_name": "THANH",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-08",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS110942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blythe, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.