Active NPI
Donald J. Prolo, M.D., Inc.
- Specialist
- San Jose, CA
National Provider Identifier
1104037423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G99280
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald J. Prolo
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 DirectoryLocations
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.
-
- Specialist
- San Jose, CA
- NPI 1467420976
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.