Individual provider Active NPI

Mark Minh Ngo, M.D.

  • Hematology & Oncology Physician
  • Long Beach, CA
National Provider Identifier
1982623468
Registry record updated Feb 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A73755 Issued in CA
Practice address
1043 Elm Ave
Ste 104
Long Beach, CA 90813-3271
Phone
(562) 590-0345
Fax
(562) 437-8139
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X A73755 CA Primary

Addresses

Primary practice location

1043 Elm Ave
Ste 104
Long Beach, CA 90813-3271

Mailing address

1043 Elm Ave
Ste 104
Long Beach, CA 90813-3244
Phone (562) 590-0345

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
I20050921001058 CA Practitioner - Hematology/OncologyPractitioner - Medical OncologyPractitioner - Hematology 6800820655 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Medical Oncology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cancer and Blood Specialty ClinicGroup PAC ID 9032260146, 17 clinicians

Practice addresses (Care Compare)

3851 Katella Ave
Suite 125
Los Alamitos, CA 90720-3379
Phone (562) 725-4367

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
63.38 of 100Reported as individual
Quality
15
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73755CAMDPharmacist
A73755CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Foundation Hematology & Oncology CurrentSince Jun 22, 2018 Accepting new patients
California Hematology Oncology Medical Group Hematology & Oncology CurrentSince Jun 1, 2021 Accepting new patients
Pacific Shores Medical Group, Inc. Hematology & Oncology CurrentSince Jun 22, 2018 Accepting new patients
Pacific Shores Medical Group, Inc Hematology & Oncology Current Accepting new patients
Cancer and Blood Specialty Clinic Hematology & Oncology CurrentSince Nov 1, 2024 Accepting new patients
Cancer and Blood Specialty Clinic Hematology & Oncology CurrentSince Nov 1, 2024 Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
CHLB, LLC Past Accepting new patients
Dignity Health Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
St. Mary Medical Center Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients

Locations

390 N Pacific Coast Hwy
Ste 1020
El Segundo, CA 90245
Phone (310) 649-7222

9900 Talbert Ave
Ste 103A
Fountain Valley, CA 92708
Phone (562) 725-4367

222 W Eulalia St
Ste 100B
Glendale, CA 91204
Phone (562) 430-5900

19582 Beach Blvd
Ste 212
Huntington Beach, CA 92648
Phone (714) 252-9415

16300 Sand Canyon Ave
Ste 207
Irvine, CA 92618
Phone (714) 252-9415

1043 Elm Ave
Ste 104
Long Beach, CA 90813
Phone (562) 495-6118

3747 Worsham Ave
Ste 101
Long Beach, CA 90808
Phone (562) 430-5900

3822 Katella Ave
Ste 100
Los Alamitos, CA 90720

3822 Katella Ave
Los Alamitos, CA 90720
Phone (627) 254-3675

3851 Katella Ave
Ste 125
Los Alamitos, CA 90720
Phone (562) 725-4367

3822 Katella Ave
#100
Los Alamitos, CA 90720

351 Hospital Rd
Ste 610
Newport Beach, CA 92663
Phone (949) 631-2462

23456 Hawthorne Blvd
Ste 260
Torrance, CA 90505
Phone (310) 540-2282

2780 Skypark Dr
Ste 350
Torrance, CA 90505
Phone (310) 986-6511

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ngo105pcs@m694.primeclinicalsystems.direct-ci.com
  • Direct secure messaging: mngo@cblood.curemd.direct-ci.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266624000000",
    "number": "1982623468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 ELM AVE",
            "address_2": "STE 104",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133244",
            "telephone_number": "562-590-0345",
            "fax_number": "562-437-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 ELM AVE",
            "address_2": "STE 104",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133271",
            "telephone_number": "562-590-0345",
            "fax_number": "562-437-8139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "MARK",
        "middle_name": "MINH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2010-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A73755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.