Anita Ngo, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95031597 Issued in CA

Practice address

8831 Villa la Jolla Dr
La Jolla, CA 92037-1949

Phone

(858) 457-4480

Fax

(858) 457-6992

NPI assigned

Jan 9, 2023

Last updated

Apr 21, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, CA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mainstreet and Kidsstreet of North Carolina PLLCGroup PAC ID 6901290238, 76 clinicians

Minuteclinic Diagnostic Medical Group of San Diego IncGroup PAC ID 2567520414, 40 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mainstreet and Kidsstreet of North Carolina PLLC

  • Urgent Care Clinic/Center
  • Locust, NC
  • NPI 1144803040
  Medicare reassignment Care Compare group NPD
• Minuteclinic Diagnostic Medical Group of San Diego Inc

  • Family Nurse Practitioner
  • El Cajon, CA
  • NPI 1568659233
  Medicare reassignment Care Compare group
• Minuteclinic Diagnostic Medical Group of California Inc

  • Family Nurse Practitioner
  • Burbank, CA
  • NPI 1033309372
  Medicare reassignment
• Minuteclinic Diagnostic Medical Group of Orange County Inc

  • Nurse Practitioner
  • Irvine, CA
  • NPI 1104013879
  Medicare reassignment
• Minuteclinic Primary Care California

  • Family Nurse Practitioner
  • Irvine, CA
  • NPI 1083421614
  Medicare reassignment
• Mainstreet and Kidsstreet of North Carolina PLLC

  • Urgent Care Clinic/Center
  • Burlington, NC
  • NPI 1043170558
  NPD
• Mainstreet and Kidsstreet of North Carolina PLLC

  dba MainStreet Family Care

  • Rural Health Clinic/Center
  • Goldsboro, NC
  • NPI 1003703216
  NPD (past)
• Mainstreet and Kidsstreet of North Carolina PLLC

  dba MainStreet Family Care

  • Urgent Care Clinic/Center
  • Goldsboro, NC
  • NPI 1043907645
  NPD (past)
• Mainstreet and Kidsstreet of North Carolina PLLC

  dba MainStreet Family Care

  • Urgent Care Clinic/Center
  • Kinston, NC
  • NPI 1447956610
  NPD (past)
• Mainstreet and Kidsstreet of North Carolina PLLC

  dba MainStreet Family Care

  • Rural Health Clinic/Center
  • Kinston, NC
  • NPI 1629965835
  NPD (past)

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1790499291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8831 VILLA LA JOLLA DR",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371949",
            "telephone_number": "858-457-4480",
            "fax_number": "858-457-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8831 VILLA LA JOLLA DR",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371949",
            "telephone_number": "858-457-4480",
            "fax_number": "858-457-6992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1040 US-258",
            "address_purpose": "LOCATION",
            "city": "Kinston",
            "state": "NC",
            "postal_code": "28504",
            "country_code": "US",
            "telephone_number": "252-525-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2115 S Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Wake Forest",
            "state": "NC",
            "postal_code": "275875011",
            "country_code": "US",
            "telephone_number": "919-229-4833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "132 Nc 581 Hwy N",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "275307990",
            "country_code": "US",
            "telephone_number": "919-921-9960",
            "fax_number": "919-584-8128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGO",
        "first_name": "ANITA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5021583",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95031597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kira Danielle Newton
• Ruth P Newton, PH.D.
• Diana NG, MD
• Garek Raymond NG, ND
• Jeffrey NG
• Hoang Ngo
• Jimmy Ngo, PHARM.D
• Linda Ngo
• Tawny Ngo, M.D.
• Kim Thanh Nguyen-Ta, MD, MS, MPH

• Family Nurse Practitioner in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.