Organization Active NPI

Donald J. Prolo, M.D., Inc.

  • Specialist
  • San Jose, CA
National Provider Identifier
1104037423
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G99280 Issued in CA
Legal business name
DONALD J. PROLO, M.D., INC.
Practice address
203 Di Salvo Ave
San Jose, CA 95128-1628
Phone
(408) 295-4022
Fax
(408) 295-2562
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Donald J. ProloNPI 1467420976
Title
M.D.
Phone
(408) 295-4022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G99280 CA Primary

Addresses

Primary practice location

203 Di Salvo Ave
San Jose, CA 95128-1628

Mailing address

203 Di Salvo Ave
San Jose, CA 95128-1628
Phone (408) 295-4022

National Provider Directory

National Provider Directory

Locations

203 Di Salvo Ave
San Jose, CA 95128
Phone (408) 295-4022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1104037423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 DI SALVO AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281628",
            "telephone_number": "408-295-4022",
            "fax_number": "408-295-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 DI SALVO AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281628",
            "telephone_number": "408-295-4022",
            "fax_number": "408-295-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD J. PROLO, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "PROLO",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "408-295-4022"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G99280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.