Active NPI
Brian Suatengco Ngan, FNP-C
- Family Nurse Practitioner
- Tarzana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95017432
- Practice address
- 19353 Victory Blvd
Tarzana, CA 91335-6302 - Phone
- (818) 996-4742
- NPI assigned
- Sep 2, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95017432 | CA | Primary |
Addresses
Primary practice location
19353 Victory Blvd
Tarzana, CA 91335-6302
Mailing address
19353 Victory Blvd
Tarzana, CA 91335-6302
Phone (818) 996-4742
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: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20201 Rinaldi St
Suite 110
Northridge, CA 91326-4938
Phone (747) 444-4901
26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225
35 W Los Angeles Ave
Moorpark, CA 93021-1820
Phone (805) 529-5370
701 N Wendy Dr
Newbury Park, CA 91320-3066
Phone (805) 375-4400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95017432 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exer Medical Corporation | Current | Accepting new patients |
Locations
26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225
235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010
2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355
7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271
35 W Los Angeles Ave
Moorpark, CA 93021
Phone (805) 529-5370
25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020
701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400
Organizations & group practices 1
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.
-
- Urgent Care Clinic/Center
- Calabasas, CA
- NPI 1588901532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1871261925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19353 VICTORY BLVD",
"city": "TARZANA",
"state": "CA",
"postal_code": "913356302",
"telephone_number": "818-996-4742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19353 VICTORY BLVD",
"city": "TARZANA",
"state": "CA",
"postal_code": "913356302",
"telephone_number": "818-996-4742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGAN",
"first_name": "BRIAN",
"middle_name": "SUATENGCO",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-02",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95017432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.