Individual provider Active NPI

Chau Minh Ngo, M.D.

  • Internal Medicine Physician
  • Laguna Beach, CA
National Provider Identifier
1477613339
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G72718 Issued in CA
Practice address
362 3Rd St
Laguna Beach, CA 92651-2307
Phone
(949) 494-0761
Fax
(949) 497-9922
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G72718 CA Primary

Addresses

Primary practice location

362 3Rd St
Laguna Beach, CA 92651-2307

Mailing address

17357 Los Amigos Cir
Fountain Valley, CA 92708-3921
Phone (714) 968-9862

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
I20141231000058 CA Practitioner - Internal MedicinePractitioner - Family Practice 2769705516 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laguna Beach Community Clinic IncGroup PAC ID 5991861197, 3 clinicians

Practice addresses (Care Compare)

362 3Rd St
Laguna Beach, CA 92651-2307
Phone 9494940761141

Hospital & facility affiliations

  • Providence Mission Hospital Hospital, Mission Viejo, CA, CCN 050567

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
83.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72718CAMDAddiction (Substance Use Disorder) Counselor
G72718CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UC Regents Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
UC Regents CurrentSince Jul 1, 2015 Accepting new patients
Laguna Beach Community Clinic, Inc. CurrentSince Nov 1, 2014 Accepting new patients
UC Regents Current Accepting new patients
University of California Irvine Past Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients

Locations

856 Health Sciences Rd
Ste 2600
Irvine, CA 92617
Phone (949) 824-7000

19722 MacArthur Blvd
Irvine, CA 92612
Phone (949) 824-8641

362 3rd St
Laguna Beach, CA 92651
Phone (949) 494-0761

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1477613339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17357 LOS AMIGOS CIR",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083921",
            "telephone_number": "714-968-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 3RD ST",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512307",
            "telephone_number": "949-494-0761",
            "fax_number": "949-497-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "CHAU",
        "middle_name": "MINH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G72718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Beach, CA

Sources for this page

Verify at the official NPI Registry.