Active NPI
Kuong Ngann, DO
- Trauma Surgery Physician
- Fort Defiance, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- 20A12099
- Practice address
- Corner of Route N12 and N7
Fort Defiance, AZ 86504-0649 - Phone
- (928) 729-8000
- NPI assigned
- Jun 21, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 5482 | TN | |
| Trauma Surgery Physician | 2086S0127X | 20A12099 | CA | Primary |
Addresses
Primary practice location
Corner of Route N12 and N7
Fort Defiance, AZ 86504-0649
Mailing address
PO Box 649
Fort Defiance, AZ 86504-0649
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TN, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Lake Erie College of Osteopathic Medicine, Bradenton, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3630 E Imperial Hwy
Lynwood, CA 90262-2609
Phone (310) 900-8900
65 Nielson St
Suite 125
Watsonville, CA 95076-2491
Phone (831) 768-6266
751 S Bascom Ave
Santa Clara Vly Med
San Jose, CA 95128-2604
Phone (408) 885-5000
Corner of Route N12 and N7
Fdihb Inc.
Fort Defiance, AZ 86504-0649
Phone (928) 729-8082
PO Box
Suite 649
Fort Defiance, AZ 86504-0649
Hospital & facility affiliations
- Desert Regional Medical Center
- John F Kennedy Memorial Hospital
- Santa Clara Valley Medical Center
- Watsonville Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.52 of 100
- Quality
- 97.68
- Improvement activities
- 40
- Cost
- 62.65
Merit-based Incentive Payment System (MIPS)
- Final score
- 61 of 100
- Quality
- 59.41
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 71.45
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A12099 | CA | MD | Trauma Surgery Physician |
| 5482 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Surgery | Current | Accepting new patients |
| KND Development 59 LLC | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| KND Development 59 LLC | Current | Accepting new patients | |
| Kern County Hospital Authority | Current | Accepting new patients | |
| Pajaro Valley Health Care District | Surgery | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| Ut Methodist Physicians LLC | Surgery | Current | Accepting new patients |
| KND Development 59, LLC | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Kern County Hospital Authority | Current | Accepting new patients | |
| Desert Trauma Surgeons, Inc. | Trauma Surgery | Current | Accepting new patients |
| Ut Medical Group Inc | Surgery | Past | Accepting new patients |
Locations
1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000
47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191
3630 E Imperial Hwy
Lynwood, CA 90262
Phone (310) 900-7420
1180 N Indian Canyon Dr
Ste E317
Palm Springs, CA 92262
Phone (760) 416-5023
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090
200 W Arbor Dr
#8896
San Diego, CA 92103
Phone (619) 543-7200
4940 El Cajon Blvd
San Diego, CA 92115
Phone (619) 543-4500
4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
75 Nielson St
Watsonville, CA 95076
Phone (831) 724-4741
65 Nielson St
Ste 125
Watsonville, CA 95076
Phone (831) 768-6266
4240 Bethel Rd
Ste 200
Olive Branch, MS 38654
Phone (901) 758-7970
1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954
1325 Eastmoreland Ave
Ste 370
Memphis, TN 38104
Phone (901) 516-8785
1325 Eastmoreland Ave
Ste 310
Memphis, TN 38104
Phone (901) 272-6010
Interoperability endpoints
- kngann140108@santaclaravalley.direct-ci.net
Organizations & group practices 15
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Surgical Critical Care Physician
- Lynwood, CA
- NPI 1144225426
Trauma Surgery
-
- Cardiovascular Disease Physician
- Watsonville, CA
- NPI 1285346809
Surgery
-
- General Acute Care Hospital
- Fort Defiance, AZ
- NPI 1477876639
TX
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1376623538
-
- Hospitalist Physician
- Santa Ana, CA
- NPI 1740519081
-
- Surgery Physician
- San Diego, CA
- NPI 1740382993
-
- Anesthesiology Physician
- San Jose, CA
- NPI 1588721500
-
- Pharmacy
- San Jose, CA
- NPI 1891871919
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1548715063
-
- Hospitalist Physician
- San Diego, CA
- NPI 1881923951
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
- General Acute Care Hospital
- Palm Springs, CA
- NPI 1104856095
-
- General Acute Care Hospital
- Indio, CA
- NPI 1477584993
-
- General Acute Care Hospital
- Watsonville, CA
- NPI 1619607488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1376839167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 649",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "865040649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CORNER OF ROUTE N12 AND N7",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "865040649",
"telephone_number": "928-729-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGANN",
"first_name": "KUONG",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-21",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TN",
"license": "5482",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "CA",
"license": "20A12099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Defiance, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.