Individual provider Active NPI

David Ngo

  • Emergency Medicine Physician
  • Garden Grove, CA
National Provider Identifier
1922240423
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A1204341 Issued in CA
Practice address
12311 Janet St
Garden Grove, CA 92840-3823
Phone
(818) 462-3517
NPI assigned
Mar 30, 2009
Last updated
Oct 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X A1204341 CA Primary

Addresses

Primary practice location

12311 Janet St
Garden Grove, CA 92840-3823

Mailing address

12311 Janet St
Garden Grove, CA 92840-3823
Phone (818) 462-3517

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120521000288 CA Practitioner - Emergency Medicine 9830352335 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orange County Emergency Medical Associates IncGroup PAC ID 8123279056, 11 clinicians

Practice addresses (Care Compare)

7901 Walker St
La Palma, CA 90623-1722
Phone (714) 670-7400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.76 of 100Reported as group
Quality
83.25
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.4 of 100Reported as group
Quality
78.12
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A1204341CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Emergency Medical Associates Emergency Medicine CurrentSince Jun 15, 2014 Accepting new patients
Pacific Coast Emergency Medical Associates, Inc Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Orange County Emergency Medical Associates, Inc. Emergency Medicine CurrentSince Nov 5, 2014 Accepting new patients
Centinela Freeman Emergency Medical Associates, Inc. Emergency Medicine CurrentSince Oct 1, 2012 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Max Franklin Lebow, a Medical Corporation Emergency Medicine Past Accepting new patients
Centinela Freeman Emergency Medical Associates Emergency Medicine Past Accepting new patients

Locations

5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088

17772 Beach Blvd
Huntington Beach, CA 92647
Phone (714) 842-1473

555 E Hardy St
Inglewood, CA 90301
Phone (310) 419-8636

7901 Walker St
La Palma, CA 90623
Phone (562) 424-2900

2776 Pacific Ave
Long Beach, CA 90806
Phone (562) 595-1911

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1922240423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12311 JANET ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928403823",
            "telephone_number": "818-462-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12311 JANET ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928403823",
            "telephone_number": "818-462-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-30",
        "last_updated": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A1204341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "441 N Lakeview Ave",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928073028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.