Individual provider Active NPI

David Cao

  • Physician Assistant
  • Pomona, CA
National Provider Identifier
1437758653
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
58735 Issued in CA
Practice address
520 E Foothill Blvd Ste a
Pomona, CA 91767-1200
Phone
(909) 622-3065
Fax
(909) 784-3399
NPI assigned
Oct 19, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 58735 CA Primary

Addresses

Primary practice location

520 E Foothill Blvd Ste a
Pomona, CA 91767-1200

Mailing address

840 Towne Center Dr
Pomona, CA 91767-5900
Phone (909) 398-1550

Other practice location 1

9170 Haven Ave Ste 120
Rancho Cucamonga, CA 91730-5416
Phone (909) 476-8700

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
I20210506002489 CA Practitioner - Physician Assistant 6305255175 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chaparral Medical Group IncGroup PAC ID 6800709403, shared by 2 NPIs, 66 clinicians

Practice addresses (Care Compare)

1866 N Orange Grove Ave
Pomona, CA 91767-3042

520 E Foothill Blvd
Pomona, CA 91767-1200
Phone (909) 622-3065

Hospital & facility affiliations

  • San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099

Merit-based Incentive Payment System (MIPS)

Final score
78.08 of 100Reported as group
Quality
40.87
Promoting interoperability
75
Improvement activities
40
Cost
74.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
58735CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Chaparral Medical Group, Inc. CurrentSince Apr 9, 2021 Accepting new patients
Chaparral Medical Group Inc. CurrentSince Oct 21, 2023 Accepting new patients
Uhs Corona Inc Past Accepting new patients

Locations

840 Towne Center Dr
Pomona, CA 91767

1866 N Orange Grove Ave
Ste 202
Pomona, CA 91767
Phone (909) 623-8796

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1437758653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 TOWNE CENTER DR",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675900",
            "telephone_number": "909-398-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E FOOTHILL BLVD STE A",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671200",
            "telephone_number": "909-622-3065",
            "fax_number": "909-784-3399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9170 Haven Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917305416",
            "country_code": "US",
            "telephone_number": "909-476-8700",
            "fax_number": "909-987-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAO",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-19",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "58735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.