Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anita Ngo, NP

Individual provider Family Nurse Practitioner · NPI 1790499291

Anita Ngo, NP is a Nurse Practitioner in LA Jolla, California. Qualified in 2024, 2 years ago. Practices with Mainstreet and Kidsstreet of North Carolina PLLC, a 76-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in California and North Carolina.

Years since qualifying
2
Licensed in
CA, NC
In the registry since
2023
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

8831 Villa La Jolla Dr
LA Jolla, CA 92037-1949
Phone: (858) 457-4480
Fax: (858) 457-6992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 132 Nc 581 Hwy N, Goldsboro, NC 27530-7990 — (919) 921-9960
  • 1040 Us-258, Kinston, NC 28504 — (252) 525-4000
  • 2115 S Main St Ste A, Wake Forest, NC 27587-5011 — (919) 229-4833

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95031597 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5021583 (NC)

Record details

NPI number1790499291
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 9, 2023
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Mainstreet And Kidsstreet Of North Carolina Pllc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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