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NATHAN THIEN PHUC NGO
NPI 1043935380
Nurse Practitioner - Psychiatric/Mental Health in Orange, CA

Active since October 10, 2022PECOS EnrolledAccepts Medicare Assignment
265 S ANITA DR STE 102-104, ORANGE, CA 92868(310) 945-3350 Get Directions Write a Review

NPPES record last updated: June 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 22, 2024, Dec 12, 2023, Oct 26, 2023 and 2 more (5 updates tracked since 2022).

About Nathan Thien Phuc Ngo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHAN THIEN PHUC NGO (NPI 1043935380) is an individual psychiatric/mental health provider in Orange, California, licensed in California (95025180) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1043935380
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameNATHAN THIEN PHUC NGO
Location Address265 S ANITA DR STE 102-104Orange, CA 92868-3355
Mailing Address9808 Venice Blvd Ste 700Culver City, CA 90232-6824 · (310) 945-3350
Phone(310) 945-3350
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 10, 2022
Last NPPES UpdateJune 22, 20245 updates tracked since enumeration
NPPES CertifiedJune 22, 2024
✔ NPI 1043935380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95025180
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 95220955 (CA)
265 S ANITA DR STE 102-104, Orange, CA 92868
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nathan Thien Phuc Ngo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204280852
PECOS Enrollment IDI20230929003032
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Nathan Ngo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Progeny Psychiatric Clinic A Medical Corporation
6.3 mi
Psychiatry
17782 COWAN STE A
Irvine, CA 92614
  • Reassigned Medicare billing, California enrollment
  • 39 clinicians in this Medicare group
NPI 1548735202 (949) 722-7118
Jason Kellogg M.D. Inc
12 mi
Psychiatry
123 TURQUOISE AVE
Newport Beach, CA 92662
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Jason Kellogg MD Inc
  • 25 clinicians in this Medicare group
NPI 1235391624 (949) 340-2111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
135 services86 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
101 services75 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
73 services72 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
65 services44 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
55 services55 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
36 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92868 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LILY SHAPIRO
Student in an Organized Health Care Education/Training Program
265 S ANITA DR STE 102-104
ORANGE, CA 92868
Orange County (714) 410-3500
ANA MAUREEN GRAMA CORDERO
Registered Nurse
265 S ANITA DR STE 102-104
ORANGE, CA 92868
Orange County (310) 945-3350
ELVIRA VAZQUEZ
Community Health Worker
265 S ANITA DR STE 102-104
ORANGE, CA 92868
Orange County (714) 410-3500
JUSTIN JEFFREY LAT
Day Training/Habilitation Specialist
265 S ANITA DR STE 102-104
ORANGE, CA 92868
Orange County (310) 945-3350
HOPE ANNETTE MORRIS
Day Training/Habilitation Specialist
265 S ANITA DR STE 102-104
ORANGE, CA 92868
Orange County (714) 410-3500
JUSTIN PHILLIP HERNANDEZ
Day Training/Habilitation Specialist
265 S ANITA DR STE 102-104
ORANGE, CA 92868
Orange County (714) 410-3500
RAITCHELL C ANGELES RN
Registered Nurse
265 S ANITA DR STE 102-104
ORANGE, CA 92868
Orange County (714) 410-3500
ITZAYANA PRADO
Day Training/Habilitation Specialist
265 S ANITA DR STE 102-104
ORANGE, CA 92868
Orange County (310) 945-3350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathan Ngo's NPI number?

The NPI number for Nathan Ngo is 1043935380. It was assigned to this individual provider in the NPPES registry on October 10, 2022.

Where is Nathan Ngo located?

Nathan Ngo practices at 265 S Anita Dr Ste 102-104, Orange, CA 92868. The listed phone number is (310) 945-3350.

What is Nathan Ngo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Nathan Ngo enrolled in Medicare?

Yes. Nathan Ngo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nathan Ngo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Ngo reassigns Medicare benefits to 2 organizations: Progeny Psychiatric Clinic A Medical Corporation (Irvine, CA) and Jason Kellogg M.D. Inc (Newport Beach, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nathan Ngo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nathan Ngo was last updated on June 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.