Individual provider Active NPI

Phong Xuan Ngo, MD

  • Emergency Medicine Physician
  • Monterey Park, CA
National Provider Identifier
1942243449
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G80943 Issued in CA
Practice address
525 N Garfield Ave
Monterey Park, CA 91754-1202
Phone
(626) 307-2129
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD126280 OR
Internal Medicine Physician 207R00000X MD126280 OR
Emergency Medicine Physician 207P00000X G80943 CA Primary

Addresses

Primary practice location

525 N Garfield Ave
Monterey Park, CA 91754-1202

Mailing address

1745 Grand Oaks Ave
Altadena, CA 91001-3611
Phone (626) 437-1340

Other identifiers 2

IdentifierTypeStateIssuer
500612953MedicaidOR
00G809430MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040325001292 CA Practitioner - Emergency MedicinePractitioner - Internal Medicine 4688566607 Reassigns benefits to 3 organizations
I20100106000764 OR Practitioner - Emergency MedicinePractitioner - Internal Medicine 4688566607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
University of Southern California Keck School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gem Medical Group CorporationGroup PAC ID 3072984400, 54 clinicians

Practice addresses (Care Compare)

525 N Garfield Ave
Monterey Park, CA 91754-1202
Phone (626) 573-2222

Hospital & facility affiliations

  • Garfield Medical Center Hospital, Monterey Park, CA, CCN 050737
  • Whittier Hospital Medical Center Hospital, Whittier, CA, CCN 050735

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G80943CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Emergency Medicine CurrentSince Feb 12, 2024 Accepting new patients
Glendale Emergency Medical Associates, Inc Emergency Medicine CurrentSince Apr 1, 2005 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Feb 12, 2024 Accepting new patients
Gem Medical Group Corporation Emergency Medicine CurrentSince Apr 16, 2023 Accepting new patients
Gem Medical Group Corporation Emergency Medicine CurrentSince Apr 16, 2023 Accepting new patients
Michael S. Agron, M.D., Inc. Emergency Medicine CurrentSince Apr 1, 2005 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Joseph J. Pachorek MD Inc a California Corporation Internal Medicine PastSince Jan 1, 1990 Accepting new patients
Garfield Emergency Medical Associates, Inc. Emergency Medicine Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients

Locations

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

900 S Atlantic Blvd
Monterey Park, CA 91754
Phone (626) 457-7450

525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222

1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916

9080 Colima Rd
Whittier, CA 90605
Phone (562) 907-1565

2801 St Anthony Way
Pendleton, OR 97801
Phone (541) 276-5121

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

Organizations & group practices 10

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.

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1942243449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 GRAND OAKS AVE",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910013611",
            "telephone_number": "626-437-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N GARFIELD AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541202",
            "telephone_number": "626-307-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "PHONG",
        "middle_name": "XUAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD126280",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD126280",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G80943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500612953",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G809430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.