Healthcare Provider Details

I. General information

NPI: 1417559196
Provider Name (Legal Business Name): ALLISON NGOC NGO-GARNER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLISON NGOC-THU NGO

II. Dates (important events)

Enumeration Date: 11/09/2020
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

499 ILLINOIS ST FL 6
SAN FRANCISCO CA
94158-2518
US

IV. Provider business mailing address

1691 THE ALAMEDA
SAN JOSE CA
95126-2203
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-7475
  • Fax:
Mailing address:
  • Phone: 408-287-7526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95015340
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: