NPIMap

Organization Active NPI

Dean Ba Ngo MD Inc

  • Internal Medicine Physician
  • Westminster, CA
National Provider Identifier
1508990664
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A60674 Issued in CA
Legal business name
DEAN BA NGO MD INC
Practice address
15606 Brookhurst St Ste B
Westminster, CA 92683-7582
Phone
(714) 531-0000
Fax
(714) 531-1006
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Authorized official

Name
Dean B Ngo, MDNPI 1982690582
Title
Physician
Phone
(714) 531-0000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A50341 CA
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A60674 CA Primary

Addresses

Primary practice location

15606 Brookhurst St Ste B
Westminster, CA 92683-7582

Mailing address

6426 Fairwind Cir
Huntington Beach, CA 92648-6714
Phone (714) 556-0000

Other identifiers 2

IdentifierTypeStateIssuer
A60674OtherCALICENSE
00A606740MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071217000738 CA Part B Supplier - Clinic/Group Practice 5991895799 Receives reassigned benefits from 6 practitioners
Practice locations: Westminister, CA; Garden Grove, CA; Tustin, CA; Santa Ana, CA; Huntington Beach, CA; Fountain Valley, CA

National Provider Directory

National Provider Directory

Locations

15606 Brookhurst St
Westminster, CA 92683
Phone (714) 531-7730

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1508990664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6426 FAIRWIND CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486714",
            "telephone_number": "714-556-0000",
            "fax_number": "714-556-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15606 BROOKHURST ST STE B",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837582",
            "telephone_number": "714-531-0000",
            "fax_number": "714-531-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN BA NGO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "714-531-0000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A50341",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A60674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A60674",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A606740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.