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TINA NGO
NPI 1679450795
Nurse Practitioner - Family in Woodland Hills, CA

Active since August 20, 2025PECOS Enrolled
PO BOX 565, WOODLAND HILLS, CA 91365(818) 912-8534 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tina Ngo NPPES

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

TINA NGO (NPI 1679450795) is an individual family provider in Woodland Hills, California, licensed in California (95036217) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1679450795
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTINA NGO
Location AddressPO BOX 565Woodland Hills, CA 91365-0565
Mailing AddressPo Box 565Woodland Hills, CA 91365-0565 · (818) 912-8534
Phone(818) 912-8534
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 20, 2025
NPPES CertifiedAugust 19, 2025
✔ NPI 1679450795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95036217
PO BOX 565, Woodland Hills, CA 91365
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3577054949
PECOS Enrollment IDI20251113001174
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 Tina Ngo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Molina Healthcare Of California
30 mi
Family Medicine
540 E ARTESIA BL
Long Beach, CA 90805
  • Reassigned Medicare billing, California enrollment
  • 339 clinicians in this Medicare group
NPI 1669586020 (562) 423-3383
Central Health Plan Of California, Inc.
45 mi
Health Maintenance Organization
1540 BRIDGEGATE DR
Diamond Bar, CA 91765
  • Reassigned Medicare billing, California enrollment
  • 283 clinicians in this Medicare group
NPI 1386714772 (626) 388-2390

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91365 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.

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 Tina Ngo's NPI number?

The NPI number for Tina Ngo is 1679450795. It was assigned to this individual provider in the NPPES registry on August 20, 2025.

Where is Tina Ngo located?

Tina Ngo practices at PO Box 565, Woodland Hills, CA 91365. The listed phone number is (818) 912-8534.

What is Tina Ngo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tina Ngo enrolled in Medicare?

Yes. Tina Ngo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tina Ngo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tina Ngo reassigns Medicare benefits to 2 organizations: Molina Healthcare Of California (Long Beach, CA) and Central Health Plan Of California, Inc. (Diamond Bar, 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 Tina 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 Tina Ngo was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.