Active NPI
Khanh V. Dao, OD
- Optometrist
- South San Francisco, CA
National Provider Identifier
1275608143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12560T
- Practice address
- 451 S Airport Blvd
South San Francisco, CA 94080-6909 - Phone
- (650) 589-3128
- Fax
- (650) 589-3136
- NPI assigned
- Nov 23, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12560T | CA | Primary |
Addresses
Primary practice location
451 S Airport Blvd
South San Francisco, CA 94080-6909
Mailing address
451 S Airport Blvd
South San Francisco, CA 94080-6909
Phone (714) 686-1731
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12560 | CA | MD | Chiropractor |
| 12560T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Khanh V Dao, OD Inc. | Optometrist | Current | Accepting new patients |
Locations
451 S Airport Blvd
South San Francisco, CA 94080
Phone (650) 589-3128
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": "1164240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680739200000",
"number": "1275608143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 S AIRPORT BLVD",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940806909",
"telephone_number": "714-686-1731",
"fax_number": "650-589-3136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 S AIRPORT BLVD",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940806909",
"telephone_number": "650-589-3128",
"fax_number": "650-589-3136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAO",
"first_name": "KHANH",
"middle_name": "V.",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-23",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12560T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.