DARREN THANH LIEM NGO MS, MAT, PA-C, ATC
NPI 1902339005
Physician Assistant in Fremont, CA

Active since April 05, 2017PECOS Enrolled
38690 STIVERS ST STE A, FREMONT, CA 94536(510) 248-1040(510) 797-7426 Get Directions Write a Review

NPPES record last updated: October 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 7, 2025, Dec 12, 2019, May 23, 2018 (3 updates tracked since 2018).

About Darren Thanh Liem Ngo Ms, Mat, Pa-c, Atc NPPES

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

DARREN THANH LIEM NGO MS, MAT, PA-C, ATC (NPI 1902339005) is an individual physician assistant in Fremont, California, licensed in California (PA66435) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1902339005
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDARREN THANH LIEM NGOCredential: MS, MAT, PA-C, ATC
Location Address38690 STIVERS ST STE AFremont, CA 94536-5276
Mailing Address38690 Stivers St Ste AFremont, CA 94536-5276 · (510) 248-1040 · Fax (510) 797-7426
Fax(510) 797-7426
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 5, 2017
Last NPPES UpdateOctober 25, 20253 updates tracked since enumeration
NPPES CertifiedOctober 25, 2025
NPI 1902339005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA66435
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License 2000031223
38690 STIVERS ST STE A, Fremont, CA 94536

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Darren Thanh Liem Ngo Ms, Mat, Pa-c, Atc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436634235
PECOS Enrollment IDI20260330003480
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 94536 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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 3

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

Physician Assistant (Surgical)
38690 STIVERS ST STE A
FREMONT, CA 94536
Physician Assistant (Surgical)
38690 STIVERS ST STE A
FREMONT, CA 94536
Physician Assistant
38690 STIVERS ST STE A
FREMONT, CA 94536

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902339005, enumerated as an "individual" on April 05, 2017.

The provider is located at 38690 STIVERS ST STE A FREMONT, CA 94536 and the phone number is (510) 248-1040.

Physician Assistant with taxonomy code 363A00000X.