TRACY MY NGO
NPI 1578040135
Dentist in San Andreas, CA

Q: What is Tracy Ngo's NPI number?

The NPI number for Tracy Ngo is 1578040135. It was assigned to this individual provider in the NPPES registry on July 25, 2018.

Q: What is Tracy Ngo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Ngo was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 25, 2018PECOS Enrolled

1113 HIGHWAY 49, SAN ANDREAS, CA 95249(209) 755-1460(209) 754-6278 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2022, Aug 18, 2020, Jul 25, 2018 (3 updates tracked since 2018).

On this page

About Tracy My Ngo NPPES

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

TRACY MY NGO (NPI 1578040135) is an individual dentist in San Andreas, California, licensed in California (DDS102710) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Sacramento.

NPPES Registry Identity

NPI1578040135

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameTRACY MY NGO

Location Address1113 HIGHWAY 49San Andreas, CA 95249

Mailing AddressPo Box 939Angels Camp, CA 95222-0939 · (209) 754-6262

Phone(209) 755-1460

Fax(209) 754-6278

Sole ProprietorYes

Enumeration DateJuly 25, 2018

Last NPPES UpdateOctober 11, 20223 updates tracked since enumeration

NPPES CertifiedOctober 6, 2022

✔ NPI 1578040135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · DDS102710

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1113 HIGHWAY 49, San Andreas, CA 95249

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Secondary Practice Location 1

Location 1777 12th St Ste 250Sacramento, CA 95814-1929 · Phone (916) 469-4690

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracy My Ngo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95249 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

Most-billed visit code 99213

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 7

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

DR. SUSAN MARGARET ABELDT D.D.S.

Dentist (General Practice)

1113 HIGHWAY 49, STE A
SAN ANDREAS, CA 95249

Calaveras County (209) 755-1460

COLLETTE HOWARD CMT

Massage Therapist