Individual provider Active NPI

Stephane Ngo, M.D.

  • Psychiatry Physician
  • Fresno, CA
National Provider Identifier
1407886765
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A108867 Issued in CA
Practice address
4855 E Kings Canyon Rd
Fresno, CA 93727-3811
Phone
(559) 255-8395
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0063898 MD
Psychiatry Physician 2084P0800X A108867 CA Primary

Addresses

Primary practice location

4855 E Kings Canyon Rd
Fresno, CA 93727-3811

Mailing address

4855 E Kings Canyon Rd
Fresno, CA 93727-3811
Phone (559) 255-8395

Other practice location 1

4871 E. Kings Canyon Rd
Fresno, CA 93727-3811
Phone (559) 255-8395

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100106000248 CA Practitioner - Psychiatry 0143233908 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Fresno CenterGroup PAC ID 7113347493, 7 clinicians

Practice addresses (Care Compare)

4855 E Kings Canyon Rd
Fresno, CA 93727-3811
Phone (559) 255-8395

4871 E Kings Canyon Rd
Fresno, CA 93727-3811
Phone (559) 255-8395

4879 E Kings Canyon Rd
Fresno, CA 93727-3811
Phone (559) 255-8395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A108867CAMDPsychiatry Physician
D0063898MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Fresno Center Psychiatry CurrentSince Apr 7, 2026 Accepting new patients
The Fresno Center Psychiatry PastSince Jun 1, 2020 Accepting new patients
The Fresno Center PastSince Sep 1, 2020 Accepting new patients

Locations

4871 E Kings Canyon Rd
Fresno, CA 93727
Phone (559) 390-0963

Organizations & group practices 4

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1407886765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 E KINGS CANYON RD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937273811",
            "telephone_number": "559-255-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 E KINGS CANYON RD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937273811",
            "telephone_number": "559-255-8395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4871 E. Kings Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937273811",
            "country_code": "US",
            "telephone_number": "559-255-8395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGO",
        "first_name": "STEPHANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0063898",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A108867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.