Individual provider Active NPI

Uyen Ngo

  • Family Nurse Practitioner
  • Garden Grove, CA
National Provider Identifier
1669896700
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95000319 Issued in CA
Practice address
9852 11TH St Apt 7
Garden Grove, CA 92844-3121
Phone
(714) 616-8664
NPI assigned
Feb 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95000319 CA Primary

Addresses

Primary practice location

9852 11TH St Apt 7
Garden Grove, CA 92844-3121

Mailing address

9852 11TH St Apt 7
Garden Grove, CA 92844-3121

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250314000910 CA Practitioner - Nurse Practitioner 3173926185 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95000319CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Benevolence Industries Incorporated Current Accepting new patients
Benevolence Industries Inc. CurrentSince Jan 28, 2025 Accepting new patients
Benevolence Industries Incorporated CurrentSince Jan 28, 2025 Accepting new patients

Locations

303 N East St
Anaheim, CA 92805
Phone (714) 491-1771

920 N Long Beach Blvd
Ste 1
Compton, CA 90221
Phone (310) 669-9400

3631 Crenshaw Blvd
Ste 109
Los Angeles, CA 90016
Phone (310) 800-7963

805 W La Veta Ave
Ste 110
Orange, CA 92868
Phone (714) 289-8800

1010 Crenshaw Blvd
Ste 100
Torrance, CA 90501

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAFBCA

Organizations & group practices 3

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": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1669896700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9852 11TH ST APT 7",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928443121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9852 11TH ST APT 7",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928443121",
            "telephone_number": "714-616-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "UYEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.