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

Phuoc Ngo

Individual provider Occupational Therapist · NPI 1316318868

Phuoc Ngo is an Occupational Therapist in Private Practice in San Leandro, California. Qualified in 2009, 17 years ago. Licensed in California.

Years since qualifying
17
Licensed in
CA
In the registry since
2015
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Practice location Address checks out

1440 168th Ave
San Leandro, CA 94578-2409
Phone: (510) 481-6421
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 11284 (CA)

Record details

NPI number1316318868
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 9, 2015
Last updated in NPPESNovember 24, 2021
Certification dateNovember 24, 2021

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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