Individual provider Active NPI

William Loi Ngo, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Garden Grove, CA
National Provider Identifier
1932161189
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
20A6015 Issued in CA
Practice address
8342 Garden Grove Blvd Ste 5
Garden Grove, CA 92844-1192
Phone
(714) 590-4899
Fax
(714) 590-1833
NPI assigned
Apr 4, 2006
Last updated
May 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 20A6015 CA Primary

Addresses

Primary practice location

8342 Garden Grove Blvd Ste 5
Garden Grove, CA 92844-1192

Mailing address

8342 Garden Grove Blvd Ste 5
Garden Grove, CA 92844-1192
Phone (714) 590-4899

Other identifiers 1

IdentifierTypeStateIssuer
20A6015MedicaidCA

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
I20050915000375 CA Practitioner - General PracticePractitioner - Family Practice 4789617366 Practice locations: Garden Grove, CA

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Family Practice
Education
College of Osteo Med of the Pacific at Pomona, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8342 Garden Grove Blvd
Garden Grove, CA 92844-1151
Phone (714) 590-4899

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A6015CAMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Geriatric Care Inc Geriatric Medicine PastSince Oct 15, 2019 Accepting new patients
TNL Pharmacy Corporation Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, 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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1932161189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8342 GARDEN GROVE BLVD STE 5",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441192",
            "telephone_number": "714-590-4899",
            "fax_number": "714-590-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8342 GARDEN GROVE BLVD STE 5",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441192",
            "telephone_number": "714-590-4899",
            "fax_number": "714-590-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "WILLIAM",
        "middle_name": "LOI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "20A6015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20A6015",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.