Individual provider Active NPI

Dung Thi Phuong Cao, MD

  • General Practice Physician
  • Sacramento, CA
National Provider Identifier
1295812444
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A61997 Issued in CA
Practice address
6665 Stockton Blvd
Suite 8
Sacramento, CA 95823
Phone
(916) 428-4118
Fax
(916) 428-5460
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A61997 CA Primary

Addresses

Primary practice location

6665 Stockton Blvd
Suite 8
Sacramento, CA 95823

Mailing address

PO Box 293839
Sacramento, CA 95829
Phone (916) 428-4118

Other identifiers 1

IdentifierTypeStateIssuer
0A619972MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040317000757 CA Practitioner - General Practice 3577452911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6665 Stockton Blvd
Suite 8
Sacramento, CA 95823-1634
Phone (916) 428-4118

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Graph Surgery Inc CurrentSince Apr 1, 2020 Accepting new patients
Cao Thi Phuong Dung MD Inc General Practice CurrentSince Jul 18, 1998 Accepting new patients

Locations

6665 Stockton Blvd
Ste 8
Sacramento, CA 95823
Phone (916) 428-4118

10301 Bolsa Ave
Ste 101
Westminster, CA 92683
Phone (714) 531-3535

Organizations & group practices 2

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1295812444",
    "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": {
        "last_name": "CAO",
        "first_name": "DUNG",
        "middle_name": "THI PHUONG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A61997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0A619972",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.