Cao Thi Phuong Dung MD Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A61997 Issued in CA

Legal business name

CAO THI PHUONG DUNG MD INC

Practice address

6665 Stockton Blvd
Suite 8
Sacramento, CA 95823

Phone

(916) 428-4118

Fax

(916) 428-5460

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Dung Thi Phuong Cao, MDNPI 1295812444

Title

Director

Phone

(916) 428-4118

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dung Thi Phuong Cao, MD

  • General Practice Physician
  • Sacramento, CA
  • NPI 1295812444
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285711432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293839",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95829",
            "telephone_number": "916-428-4118",
            "fax_number": "916-428-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6665 STOCKTON BLVD",
            "address_2": "SUITE 8",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95823",
            "telephone_number": "916-428-4118",
            "fax_number": "916-428-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAO THI PHUONG DUNG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAO",
        "authorized_official_first_name": "DUNG",
        "authorized_official_middle_name": "THI PHUONG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "916-428-4118",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A61997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A619972",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Cantua
• Claudia Canturin, NP
• David E Canubida
• Tina Canupp, LVN, BSHA
• Noah Canvasser, M.D.
• Angela Cao
• Angelique Cao
• Dung Thi Phuong Cao, MD
• Irene Cao
• Karen Mai Cao, PHARMACIST

• General Practice Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.