Individual provider Active NPI

Jordene Ngo, OD

  • Optometrist
  • Garden Grove, CA
National Provider Identifier
1821821208
Registry record updated Jul 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35826 Issued in CA
Practice address
12302 Garden Grove Blvd Ste 6
Garden Grove, CA 92843-1802
Phone
(714) 590-2020
NPI assigned
Aug 21, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35826 CA Primary

Addresses

Primary practice location

12302 Garden Grove Blvd Ste 6
Garden Grove, CA 92843-1802

Mailing address

12302 Garden Grove Blvd Ste 6
Garden Grove, CA 92843-1802
Phone (714) 590-2020

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
I20240918002382 CA Practitioner - Optometry 8022559079 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Ardaya & Lin Optometry Inc Optometrist CurrentSince Sep 1, 2024 Accepting new patients
Sheldon M. Golden OD Optometric Corporation Optometrist Past Accepting new patients

Locations

1026 W West Covina Pkwy
Ste B
West Covina, CA 91790
Phone (626) 593-4234

11245 Washington Blvd
Whittier, CA 90606
Phone (562) 692-1208

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": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784332800000",
    "number": "1821821208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12302 GARDEN GROVE BLVD STE 6",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431802",
            "telephone_number": "714-590-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12302 GARDEN GROVE BLVD STE 6",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431802",
            "telephone_number": "714-590-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "JORDENE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2026-07-18",
        "certification_date": "2026-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.