Individual provider Active NPI

Anthony Fung Ngo, PSYD

  • Clinical Psychologist
  • Fresno, CA
National Provider Identifier
1720317530
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY28697 Issued in CA
Practice address
3670 N Shelly Ave
Fresno, CA 93727-0806
Phone
(408) 916-7320
NPI assigned
Dec 8, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY28697 CA Primary

Addresses

Primary practice location

3670 N Shelly Ave
Fresno, CA 93727-0806

Mailing address

3670 N Shelly Ave
Fresno, CA 93727-0806
Phone (408) 916-7320

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250401001269 CA Practitioner - Clinical Psychologist 5092238931 Practice locations: Fresno, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3670 N Shelly Ave
Fresno, CA 93727-0806
Phone (408) 916-7320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY28697CAMDClinical Psychologist
28697CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
State of California PastSince Aug 1, 2023 Accepting new patients
California Department of Corrections &Rehabilitation PastSince Aug 1, 2023 Accepting new patients

Organizations & group practices 2

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": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1720317530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 N SHELLY AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937270806",
            "telephone_number": "408-916-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 N SHELLY AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937270806",
            "telephone_number": "408-916-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "ANTHONY",
        "middle_name": "FUNG",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-08",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY28697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.