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KELLY NGO
NPI 1760284764
Student in an Organized Health Care Education/Training Program in San Jose, CA

Active since March 27, 2025PECOS Enrolled
276 INTERNATIONAL CIR UNIT G, SAN JOSE, CA 95119(408) 362-4791 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Ngo NPPES

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

KELLY NGO (NPI 1760284764) is an individual student in an organized health care education/training program in San Jose, California and active in the NPI registry since March 2025. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760284764
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameKELLY NGO
Location Address276 INTERNATIONAL CIR UNIT GSan Jose, CA 95119-1130
Mailing Address276 International Cir Unit GSan Jose, CA 95119-1130 · (408) 362-4791
Phone(408) 362-4791
Sole ProprietorNo
Enumeration DateMarch 27, 2025
NPPES CertifiedMarch 27, 2025
✔ NPI 1760284764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
276 INTERNATIONAL CIR UNIT G, San Jose, CA 95119
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly 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.

Other Providers at the Same Location NPPES 10

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

SEAN RUBIN DO, MPH
Student in an Organized Health Care Education/Training Program
276 INTERNATIONAL CIR UNIT G
SAN JOSE, CA 95119
Santa Clara County (408) 440-7336
VALERIE ANN KAHKEJIAN
Student in an Organized Health Care Education/Training Program
276 INTERNATIONAL CIR UNIT G
SAN JOSE, CA 95119
Santa Clara County (669) 214-8197
TERESA YANG
Family Medicine
276 INTERNATIONAL CIR UNIT G
SAN JOSE, CA 95119
Santa Clara County (408) 362-4791
LUCIA MARTINEZ MD
Family Medicine
276 INTERNATIONAL CIR UNIT G
SAN JOSE, CA 95119
Santa Clara County (408) 972-6884
JONATHAN YOU FU
Student in an Organized Health Care Education/Training Program
276 INTERNATIONAL CIR UNIT G
SAN JOSE, CA 95119
Santa Clara County (669) 214-8197
GERALDINE OSTREA DO
Student in an Organized Health Care Education/Training Program
276 INTERNATIONAL CIR UNIT G
SAN JOSE, CA 95119
Santa Clara County (408) 972-6884
KELLY DO HUYNH DO
Student in an Organized Health Care Education/Training Program
276 INTERNATIONAL CIR UNIT G
SAN JOSE, CA 95119
Santa Clara County (669) 214-8197
JANNA LAUREN SHIM DO
Student in an Organized Health Care Education/Training Program
276 INTERNATIONAL CIR UNIT G
SAN JOSE, CA 95119
Santa Clara County (323) 983-1552

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 Kelly Ngo's NPI number?

The NPI number for Kelly Ngo is 1760284764. It was assigned to this individual provider in the NPPES registry on March 27, 2025.

Where is Kelly Ngo located?

Kelly Ngo practices at 276 International Cir Unit G, San Jose, CA 95119. The listed phone number is (408) 362-4791.

What is Kelly 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 Kelly Ngo enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelly Ngo was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.