Individual provider Active NPI

Linh A. Ngo, O.D.

  • Optometrist
  • Bakersfield, CA
National Provider Identifier
1366496044
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12626T Issued in CA
Practice address
625 34TH St Ste 100&200
Bakersfield, CA 93301-2305
Phone
(833) 678-2781
Fax
(661) 368-0618
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12626T CA Primary

Addresses

Primary practice location

625 34TH St Ste 100&200
Bakersfield, CA 93301-2305

Mailing address

PO Box 1559
Bakersfield, CA 93302-1559
Phone (661) 635-3050

Other identifiers 1

IdentifierTypeStateIssuer
SD0126260MedicaidCA

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
I20070609000160 CA Practitioner - Optometry 2062510316 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica Sierra VistaGroup PAC ID 3870407505, shared by 31 NPIs, 180 clinicians

Practice addresses (Care Compare)

625 34TH St
Suite 100And200
Bakersfield, CA 93301-2305
Phone (833) 678-2781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12626TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista CurrentSince Jul 25, 2022 Accepting new patients
Clinica Sierra Vista CurrentSince Feb 14, 2024 Accepting new patients
Clinica Sierra Vista Current Accepting new patients
Clinica Sierra Vista Current Accepting new patients
Clinica Sierra Vista Past Accepting new patients
William Rogoway OD Optometrist PastSince Nov 20, 2001 Accepting new patients
Fartash OD Inc Optometrist PastSince Jul 1, 2020 Accepting new patients

Locations

1305 Bear Mountain Blvd
Arvin, CA 93203
Phone (661) 854-3131

625 34th St
Ste 100
Bakersfield, CA 93301

624 34TH St Ste 100200
Bakersfield, CA 93301

625 34th St
Ste 100200
Bakersfield, CA 93301
Phone (661) 328-4284

2740 S Elm Ave
Fresno, CA 93706
Phone (559) 457-5200

1350 S Orange Ave
Fresno, CA 93702
Phone (559) 457-5400

Organizations & group practices 7

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1366496044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933021559",
            "telephone_number": "661-635-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 34TH ST STE 100&200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012305",
            "telephone_number": "833-678-2781",
            "fax_number": "661-368-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "LINH",
        "middle_name": "A.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12626T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0126260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.