Active NPI
William Bill Ngo, DDS
- Dentist
- Point Mugu, CA
National Provider Identifier
1821699737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 105771
- Practice address
- 311 Main Road, Building 5
Point Mugu, CA 93043 - Phone
- (760) 830-7052
- NPI assigned
- Nov 6, 2020
- Last updated
- Jan 11, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 105771 | CA | Primary |
Addresses
Primary practice location
311 Main Road, Building 5
Point Mugu, CA 93043
Mailing address
9121 Obsidian Dr
Westminster, CA 92683-7333
Phone (714) 271-0805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105771 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1821699737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9121 OBSIDIAN DR",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926837333",
"telephone_number": "714-271-0805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 MAIN ROAD, BUILDING 5",
"city": "POINT MUGU",
"state": "CA",
"postal_code": "93043",
"telephone_number": "760-830-7052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGO",
"first_name": "WILLIAM",
"middle_name": "BILL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-06",
"last_updated": "2023-01-11",
"certification_date": "2023-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "105771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Point Mugu, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.