Individual provider Active NPI

Donald James Prolo, M.D.

  • Specialist
  • San Jose, CA
National Provider Identifier
1467420976
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G99280 Issued in CA
Practice address
203 Di Salvo Ave
San Jose, CA 95128-1628
Phone
(408) 295-4022
Fax
(408) 295-2562
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G99280 CA Primary

Addresses

Primary practice location

203 Di Salvo Ave
San Jose, CA 95128-1628

Mailing address

203 Di Salvo Ave
San Jose, CA 95128-1628
Phone (408) 295-4022

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G99280CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Donald J. Prolo, M.D., Inc. Specialist PastSince Jan 1, 1990 Accepting new patients

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1467420976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 DI SALVO AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281628",
            "telephone_number": "408-295-4022",
            "fax_number": "408-295-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 DI SALVO AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281628",
            "telephone_number": "408-295-4022",
            "fax_number": "408-295-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROLO",
        "first_name": "DONALD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G99280",
            "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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.