Individual provider Active NPI

Angela Ngo, OD

  • Optometrist
  • Sacramento, CA
National Provider Identifier
1801448345
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34295TLG Issued in CA
Practice address
3810 Rosin CT Ste 100
Sacramento, CA 95834-1657
Phone
(530) 749-3242
Fax
(530) 749-3248
NPI assigned
Jul 15, 2019
Last updated
Sep 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34295TLG CA Primary

Addresses

Primary practice location

3810 Rosin CT Ste 100
Sacramento, CA 95834-1657

Mailing address

8181 Sunset Downs Dr
Sacramento, CA 95828-5265

Other practice location 1

4130 Truxel Rd Ste D
Sacramento, CA 95834-3760
Phone (916) 928-8383

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200819001098 CA Practitioner - Optometry 5698191815 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peach Tree HealthcareGroup PAC ID 7416978440, 32 clinicians

Practice addresses (Care Compare)

3810 Rosin CT
Suite 100
Sacramento, CA 95834-1657
Phone 53074932421124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34295TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Peach Tree Healthcare Optometrist Current Accepting new patients
Peach Tree Healthcare CurrentSince Sep 2, 2020 Accepting new patients
Ridge Eye Care Inc Optometrist CurrentSince Sep 1, 2020 Accepting new patients
North Valley Eye Care Optometrist Past Accepting new patients

Locations

9980 Live Oak Blvd
Live Oak, CA 95953
Phone (503) 749-3242

1114 Yuba St
Ste 220
Marysville, CA 95901
Phone (240) 816-4358

320 H St
Ste 4
Marysville, CA 95901
Phone (530) 743-1873

5730 Packard Ave
Ste 500
Marysville, CA 95901
Phone (530) 741-3242

3810 Rosin Ct
Ste 100
Sacramento, CA 95834
Phone (530) 399-0217

901 Maple Ave
Yuba City, CA 95991
Phone (530) 674-8170

Interoperability endpoints

  • Direct secure messaging: angela.ngo.p1@direct.peachtreehealth.nextgenshare.com
  • Direct secure messaging: ango339967@direct.ochin.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1801448345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8181 SUNSET DOWNS DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958285265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 ROSIN CT STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341657",
            "telephone_number": "530-749-3242",
            "fax_number": "530-749-3248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4130 Truxel Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958343760",
            "country_code": "US",
            "telephone_number": "916-928-8383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGO",
        "first_name": "ANGELA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34295TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.