Individual provider Active NPI

Gunjana Duwadi

  • Primary Care Nurse Practitioner
  • San Jose, CA
National Provider Identifier
1255218269
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
F08250074 Issued in CA
Practice address
3070 Pavan Dr
San Jose, CA 95148-3688
Phone
(650) 644-5225
NPI assigned
Aug 20, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X F08250074 CA Primary

Addresses

Primary practice location

3070 Pavan Dr
San Jose, CA 95148-3688

Mailing address

3070 Pavan Dr
San Jose, CA 95148
Phone (650) 644-5225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260210002064 CA Practitioner - Nurse Practitioner 0143709147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1569 Lexann Ave
San Jose, CA 95121-1794

3070 Pavan Dr
San Jose, CA 95148-3688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F08250074CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thuyvy Le Inc Single Specialty CurrentSince Jan 1, 2026 Accepting new patients

Locations

200 Jose Figueres Ave
Ste 220
San Jose, CA 95116
Phone (408) 440-4681

1569 Lexann Ave
Ste 114
San Jose, CA 95121
Phone (408) 223-8818

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1255218269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 PAVAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95148",
            "telephone_number": "650-644-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 PAVAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951483688",
            "telephone_number": "650-644-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUWADI",
        "first_name": "GUNJANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "F08250074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.