Active NPI
Gunjana Duwadi
- Primary Care Nurse Practitioner
- San Jose, CA
National Provider Identifier
1255218269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- F08250074
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| F08250074 | CA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thuyvy Le Inc | Single Specialty | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.