Individual provider Active NPI

Dung Van Cai, MD

  • Obstetrics & Gynecology Physician
  • San Jose, CA
National Provider Identifier
1124032792
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A36652 Issued in CA
Practice address
259 Meridian Av
#5
San Jose, CA 95126
Phone
(408) 294-5115
Fax
(408) 294-0274
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A36652 CA Primary

Addresses

Primary practice location

259 Meridian Av
#5
San Jose, CA 95126

Mailing address

259 Meridian Av
#5
San Jose, CA 95126
Phone (408) 294-5115

Other identifiers 1

IdentifierTypeStateIssuer
00A3665219MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36652CAMDGeneral Practice Dentistry
A36652CAMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1124032792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 MERIDIAN AV",
            "address_2": "#5",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95126",
            "telephone_number": "408-294-5115",
            "fax_number": "408-294-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 MERIDIAN AV",
            "address_2": "#5",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95126",
            "telephone_number": "408-294-5115",
            "fax_number": "408-294-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAI",
        "first_name": "DUNG",
        "middle_name": "VAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A36652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A3665219",
            "state": "CA"
        }
    ],
    "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 Jan 17, 2013; 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.