Active NPI
Mai Phuong Ngo, M.D.
- Pediatric Rehabilitation Medicine Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Rehabilitation Medicine Physician
- License
- A90185
- Practice address
- 7910 Frost St
San Diego, CA 92123-2771 - Phone
- (858) 966-8974
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A90185 | CA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | A90185 | CA | |
| Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | 2081P0301X | A90185 | CA | |
| Pediatric Rehabilitation Medicine Physician | 2081P0010X | A90185 | CA | Primary |
Addresses
Primary practice location
7910 Frost St
San Diego, CA 92123-2771
Mailing address
3020 Childrens Way
San Diego, CA 92123-4223
Phone (858) 309-6300
Other practice location 1
747 52nd St
Oakland, CA 94609-1809
Phone (510) 428-3885
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California San Francisco | Pediatrics | Current | Accepting new patients |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California San Francisco | Pediatrics | Current | Accepting new patients |
| UCSF Pediatrics Associates | Pediatrics | Current | Accepting new patients |
| University of California San Francisco | Current | Accepting new patients | |
| Rady Children'S Hospital San Diego | Past | Accepting new patients | |
| Children'S Hospital & Research Center at Oakland | Past | Accepting new patients | |
| University of California San Francisco | Past | Accepting new patients | |
| Marilyn Kaufhold, M.D., a Medical Corporation | Past | Accepting new patients |
Locations
747 52nd St
Rm 203
Oakland, CA 94609
747 52nd St
Oakland, CA 94609
Phone (510) 428-3070
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163
400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1376614016
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1164512851
Pediatrics
-
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1003961251
-
- Children's Hospital
- San Diego, CA
- NPI 1336359389
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Diego, CA
- NPI 1851303994
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Francisco, CA
- NPI 1992818256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1508910787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 CHILDRENS WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234223",
"telephone_number": "858-309-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7910 FROST ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232771",
"telephone_number": "858-966-8974"
}
],
"practiceLocations": [
{
"address_1": "747 52nd St",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946091809",
"country_code": "US",
"telephone_number": "510-428-3885",
"fax_number": "510-450-5821",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGO",
"first_name": "MAI",
"middle_name": "PHUONG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A90185",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "A90185",
"primary": false
},
{
"code": "2081P0301X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
"state": "CA",
"license": "A90185",
"primary": false
},
{
"code": "2081P0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
"state": "CA",
"license": "A90185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.