Physician Compare National (NPI:1053605618)

HEALTHCARE PROVIDER: ELIZABETH NGO D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1053605618
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3173837531
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150730011177
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NGO
	Individual professional last name
Provider First Name	ELIZABETH
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
	Individual professional's medical school
Graduation Year	2010
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL MEDICINE AND REHABILITATION
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PAIN MANAGEMENT
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PAIN MANAGEMENT
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	BAY AREA SURGICAL SPECIALISTS INC A MEDICAL CORPORATION
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	9032111281
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	233
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2914 W MAIN ST
	Group Practice or individual's line 1 address
City	VISALIA
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	932915731
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5596272849
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y