Individual provider Active NPI

Dominic Eng Hung Ong

  • Marriage & Family Therapist
  • Orange, CA
National Provider Identifier
1689094450
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
106013 Issued in CA
Practice address
594 N Glassell St
Orange, CA 92867-6748
Phone
(626) 569-8772
NPI assigned
Apr 21, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 106013 CA Primary

Addresses

Primary practice location

594 N Glassell St
Orange, CA 92867-6748

Mailing address

594 N Glassell St
Orange, CA 92867-6748
Phone (626) 569-8772

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

LicenseStateTypeSpecialty
106013CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dominic Ong LMFT CurrentSince Sep 1, 2021 Accepting new patients
County of Orange Past Accepting new patients
County of Orange Past Accepting new patients

Locations

1050 Lakes Dr
Ste 2252548
West Covina, CA 91790

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": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1689094450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 N GLASSELL ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928676748",
            "telephone_number": "626-569-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 N GLASSELL ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928676748",
            "telephone_number": "626-569-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONG",
        "first_name": "DOMINIC",
        "middle_name": "ENG HUNG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-21",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "106013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.

Verify at the official NPI Registry.