Active NPI
Linda Ngo
- Attendant Care Provider
- El Sobrante, CA
National Provider Identifier
1679356539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- License
- 21-196765
- Practice address
- 5038 San Pablo Dam Rd
El Sobrante, CA 94803-3327 - Phone
- (510) 322-1707
- NPI assigned
- Aug 15, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | 21-196765 | CA | Primary |
Addresses
Primary practice location
5038 San Pablo Dam Rd
El Sobrante, CA 94803-3327
Mailing address
1116 Stallion Rd
El Sobrante, CA 94803-1038
Phone (510) 322-1707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21-196765 | CA | MD | Attendant Care Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1679356539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1116 STALLION RD",
"city": "EL SOBRANTE",
"state": "CA",
"postal_code": "948031038",
"telephone_number": "510-322-1707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5038 SAN PABLO DAM RD",
"city": "EL SOBRANTE",
"state": "CA",
"postal_code": "948033327",
"telephone_number": "510-322-1707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGO",
"first_name": "LINDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-15",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "CA",
"license": "21-196765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Sobrante, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.