Active NPI
Nathaniel B Ngo, MD
- Obstetrics & Gynecology Physician
- Woodland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- C148577
- Practice address
- 1321 Cottonwood St FL 3
Woodland, CA 95695-5131 - Phone
- (530) 668-2600
- Fax
- (530) 661-2410
- NPI assigned
- May 27, 2008
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD2012-0180 | NM | |
| Obstetrics & Gynecology Physician | 207V00000X | C148577 | CA | Primary |
Addresses
Primary practice location
1321 Cottonwood St FL 3
Woodland, CA 95695-5131
Mailing address
3400 Data Dr
Rancho Cordova, CA 95670-7956
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Texas Southwestern Medical School at Dallas, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2800 L St
Sacramento, CA 95816-5616
Hospital & facility affiliations
- Sutter Davis Hospital
- Sutter Medical Center, Sacramento
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 148577 | CA | MD | Marriage & Family Therapist |
| C148577 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Multi-Specialty | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients | |
| Sutter North Medical Foundation | Past | Accepting new patients |
Locations
2020 Sutter Pl
Ste 203
Davis, CA 95616
Phone (530) 750-5880
2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731
815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
Interoperability endpoints
- nngo382836@hisp.ehr.sutterhealth.org
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.
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
- Home Health Agency
- Woodland, CA
- NPI 1851494231
-
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Davis, CA
- NPI 1770532608
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499385600000",
"number": "1497913404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 COTTONWOOD ST FL 3",
"city": "WOODLAND",
"state": "CA",
"postal_code": "956955131",
"telephone_number": "530-668-2600",
"fax_number": "530-661-2410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGO",
"first_name": "NATHANIEL",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-27",
"last_updated": "2017-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NM",
"license": "MD2012-0180",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "C148577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2017; 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.