Individual provider Active NPI

Carolyn Ngo-Bell, PA-C, MPH

  • Physician Assistant
  • San Jose, CA
National Provider Identifier
1689248221
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
62850 Issued in CA
Practice address
455 Oconnor Dr Ste 150
San Jose, CA 95128-1632
Phone
(669) 299-8800
NPI assigned
May 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 62850 CA Primary

Addresses

Primary practice location

455 Oconnor Dr Ste 150
San Jose, CA 95128-1632

Mailing address

3079 Knickerson Dr
San Jose, CA 95148-3116

Other practice location 1

4150 N 1st St
San Jose, CA 95134-1513
Phone (408) 871-5070

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
I20230915000928 CA Practitioner - Physician Assistant 7911361522 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.48 of 100Reported as group
Quality
80.12
Promoting interoperability
100
Improvement activities
40
Cost
71.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
62850CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Jun 28, 2024 Accepting new patients
County of Santa Clara CurrentSince Jun 28, 2024 Accepting new patients
County of Santa Clara CurrentSince Jun 28, 2024 Accepting new patients
County of Santa Clara CurrentSince Jun 28, 2024 Accepting new patients
El Camino Health Medical Group Past Accepting new patients

Locations

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

455 Oconnor Dr
Ste 150
San Jose, CA 95128
Phone (408) 947-2522

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

Interoperability endpoints

  • Direct secure messaging: cngobell209720@santaclaravalley.direct-ci.net

Organizations & group practices 9

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": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1689248221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3079 KNICKERSON DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951483116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 OCONNOR DR STE 150",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281632",
            "telephone_number": "669-299-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4150 N 1st St",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951341513",
            "country_code": "US",
            "telephone_number": "408-871-5070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGO-BELL",
        "first_name": "CAROLYN",
        "credential": "PA-C, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "62850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.