DR. JASON NGO M.D.
NPI 1194111971
Student in an Organized Health Care Education/Training Program in Santa Monica, CA

Active since April 08, 2015PECOS EnrolledAccepts Medicare Assignment
1920 COLORADO AVE, SANTA MONICA, CA 90404(310) 319-4711 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Jason Ngo M.d. NPPES

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

DR. JASON NGO M.D. (NPI 1194111971) is an individual student in an organized health care education/training program in Santa Monica, California and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (2015).

NPPES Registry Identity

NPI1194111971
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JASON NGOCredential: M.D.
Location Address1920 COLORADO AVESanta Monica, CA 90404-3414
Mailing Address1920 Colorado AveSanta Monica, CA 90404-3414 · (310) 319-4711
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2015
Enumeration DateApril 8, 2015
Last NPPES UpdateDecember 3, 2021
✔ NPI 1194111971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1920 COLORADO AVE, Santa Monica, CA 90404

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

Dr. Jason Ngo M.d. 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 ID9436498292
PECOS Enrollment IDI20190222001733
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 Reassignment

Medicare enrollment records show Jason Ngo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
6041 CADILLAC AVE
Los Angeles, CA 90034
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1396287082 (California)
  • 13,921 clinicians in this Medicare group

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

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.

Family Medicine
1920 COLORADO AVE
SANTA MONICA, CA 90404
Psychologist (Clinical)
1920 COLORADO AVE
SANTA MONICA, CA 90404
Family Medicine
1920 COLORADO AVE
SANTA MONICA, CA 90404
Family Medicine
1920 COLORADO AVE
SANTA MONICA, CA 90404
Student in an Organized Health Care Education/Training Program
1920 COLORADO AVE
SANTA MONICA, CA 90404
Family Medicine
1920 COLORADO AVE
SANTA MONICA, CA 90404
Student in an Organized Health Care Education/Training Program
1920 COLORADO AVE
SANTA MONICA, CA 90404
Family Medicine
1920 COLORADO AVE
SANTA MONICA, CA 90404

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 Jason Ngo's NPI number?

The NPI number for Jason Ngo is 1194111971. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Where is Jason Ngo located?

Jason Ngo practices at 1920 Colorado Ave, Santa Monica, CA 90404. The listed phone number is (310) 319-4711.

What is Jason Ngo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jason Ngo enrolled in Medicare?

Yes. Jason 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 organization bills Medicare for Jason Ngo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Ngo reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The 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 Jason 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 Jason Ngo was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.