Individual provider Active NPI

Ky Bich Ngo Dennis, MS

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1396141891
Registry record updated Feb 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
100105 Issued in CA
Practice address
928 Fort Stockton Dr Ste 213
San Diego, CA 92103-1890
Phone
(858) 754-8884
NPI assigned
Nov 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF75950 CA
Marriage & Family Therapist 106H00000X 100105 CA Primary

Addresses

Primary practice location

928 Fort Stockton Dr Ste 213
San Diego, CA 92103-1890

Mailing address

1221 Essex St Unit 3
San Diego, CA 92103-3335
Phone (858) 754-8884

Other names 1

  • Ky Bich Ngo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 12, 2026 through Feb 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
IMF75950CAMDMarriage & Family Therapist
100105CAMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677283200000",
    "number": "1396141891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 ESSEX ST UNIT 3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033335",
            "telephone_number": "858-754-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 FORT STOCKTON DR STE 213",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031890",
            "telephone_number": "858-754-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO DENNIS",
        "first_name": "KY",
        "middle_name": "BICH",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-10",
        "last_updated": "2023-02-25",
        "certification_date": "2023-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF75950",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "100105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KY",
            "last_name": "NGO",
            "middle_name": "BICH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.