Organization Active NPI

San Gabriel Valley Health Inc.

Doing business as Anh Tuan Ngo M.D.

  • Family Medicine Physician
  • South El Monte, CA
National Provider Identifier
1740862705
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SAN GABRIEL VALLEY HEALTH INC.
Doing business as
Anh Tuan Ngo M.D.
Practice address
9646 Garvey Ave Ste 101
South El Monte, CA 91733-4600
Phone
(626) 450-0777
NPI assigned
Apr 28, 2021
Last updated
Feb 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Authorized official

Name
Dr. Anh Tuan Ngo, MDNPI 1194266460
Title
President
Phone
(510) 299-4871

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

9646 Garvey Ave Ste 101
South El Monte, CA 91733-4600

Mailing address

8965 Camino Real
San Gabriel, CA 91775-1931
Phone (510) 299-4871

Other identifiers 1

IdentifierTypeStateIssuer
100174945MedicaidCA

Other names 2

  • Anh Tuan Ngo M.D. Doing business as
  • Anh Tuan Ngo M.D., Inc. Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL practicefusion.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220309000212 CA Part B Supplier - Clinic/Group Practice 0749674729 Receives reassigned benefits from 1 practitioner
Practice locations: South El Monte, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1740862705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8965 CAMINO REAL",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917751931",
            "telephone_number": "510-299-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9646 GARVEY AVE STE 101",
            "city": "SOUTH EL MONTE",
            "state": "CA",
            "postal_code": "917334600",
            "telephone_number": "626-450-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN GABRIEL VALLEY HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "ANH TUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-299-4871",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100174945",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "Electronic Medical Record",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9646 Garvey Ave Ste 101",
            "city": "South El Monte",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917334600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Anh Tuan Ngo M.D.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anh Tuan Ngo M.D., Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in South El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.