Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073002184 Individual Practitioner Male Practitioner

Sam Ngo

Dentist - General Practice • Lancaster, CA

Professional Overview & Biography Verified Profile Summary

Sam Ngo is a registered healthcare professional specializing in Dentist - General Practice in Lancaster, CA. Practice services are available at 45124 10TH ST W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

45124 10th St W

Lancaster, CA 935342310

Telephone 5628677999
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lancaster, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
57 Specialists

Practicing in Lancaster, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-03
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NJ 22DI02740600

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

30 Prospect Ave

Hackensack, NJ 076011915

Phone: 5519965593

1771 Madison Ave

Lakewood, NJ 08701

Phone: 7323642144

30 Prospect Ave

Hackensack, NJ 07601

Phone: 5519965593

1771 Madison Ave

Lakewood, NJ 087011242

Phone: 7323646666

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003134560

Doctor of Medicine (M.D.)

Lisa Batchelor , FNP, C, MSN

Nurse Practitioner - Family

NPI 1013072859

Family Nurse Practitioner, C, Master of Science in Nursing

NPI 1033556022

Doctor of Medicine (M.D.)

NPI 1043907587

Doctor of Dental Medicine

Gijo Alex , LCSW

Social Worker - Clinical

NPI 1073148573

Licensed Clinical Social Worker

NPI 1073873337

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location September 03, 2024

Registered at 45124 10TH ST W, LANCASTER, CA 935342310 (Tel: 5628677999)

📍
Updated Business Mailing Address September 03, 2024

Registered at 5650 JILLSON ST, COMMERCE, CA 900401482 (Tel: 3232014516)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2024

Student in an Organized Health Care Education/Training Program

📍
Updated Practice Location December 10, 2019

Registered at 1771 MADISON AVE, LAKEWOOD, NJ 087011242 (Tel: 7323646666)

📍
Updated Business Mailing Address December 10, 2019

Registered at 1771 MADISON AVE, LAKEWOOD, NJ 087011242 (Tel: 7323646666)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2019

Dentist (License #22DI02740600 in NJ)

📍
Updated Practice Location September 27, 2019

Registered at 30 PROSPECT AVE, HACKENSACK, NJ 07601 (Tel: 5519965593)

NPI Profile Active May 03, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 03, 2018

Registered at 30 PROSPECT AVE, HACKENSACK, NJ 076011915 (Tel: 5519965593)

📍
Updated Business Mailing Address May 03, 2018

Registered at 180 W MARKET ST APT 704, NEWARK, NJ 071032788 (Tel: 8185684520)

👤
Provider Name / Credentials Updated May 03, 2018

Recorded as SAM NGO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 03, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073002184
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2018
Last Update: September 03, 2024
Sole Proprietor: No

Mailing Address

5650 Jillson St

Commerce, CA 900401482

Phone: 3232014516

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.