Organization Active NPI

Chau V Dang MD Inc a Medical Corporation

  • Colon & Rectal Surgery Physician
  • Pleasanton, CA
National Provider Identifier
1063531176
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
G41112 Issued in CA
Legal business name
CHAU V DANG MD INC A MEDICAL CORPORATION
Practice address
5575 W Las Positas Blvd Ste 270
Pleasanton, CA 94588-5803
Phone
(925) 460-3883
Fax
(925) 460-3859
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary K Punches
Title
Office Manager
Phone
(925) 460-3883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208C00000X G41112 CA Primary

Addresses

Primary practice location

5575 W Las Positas Blvd Ste 270
Pleasanton, CA 94588-5803

Mailing address

5575 W Las Positas Blvd Ste 270
Pleasanton, CA 94588-5803
Phone (925) 460-3883

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063531176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 W LAS POSITAS BLVD STE 270",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885803",
            "telephone_number": "925-460-3883",
            "fax_number": "925-460-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 W LAS POSITAS BLVD STE 270",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885803",
            "telephone_number": "925-460-3883",
            "fax_number": "925-460-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAU V DANG MD INC A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PUNCHES",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "925-460-3883"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "G41112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.