Individual provider Active NPI

Tuong-Van T. Dao, H.H.P.

  • Anatomic Pathology Physician
  • Temecula, CA
National Provider Identifier
1528208626
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
ABMP # 875997 Issued in CA
Practice address
30347 Santa Cecilia Dr
Temecula, CA 92592-3211
Phone
(760) 888-7099
Fax
(270) 675-9217
NPI assigned
Mar 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Reflexologist 173C00000X
Naturopath 175F00000X
Anatomic Pathology Physician 207ZP0101X ABMP # 875997 CA Primary

Addresses

Primary practice location

30347 Santa Cecilia Dr
Temecula, CA 92592-3211

Mailing address

30347 Santa Cecilia Dr
Temecula, CA 92592-3211
Phone (760) 888-7099

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

LicenseStateTypeSpecialty
18691CAMDClinical Social Worker
ABMP # 875997CAMDAnatomic Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235952000000",
    "number": "1528208626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30347 SANTA CECILIA DR",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925923211",
            "telephone_number": "760-888-7099",
            "fax_number": "270-675-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30347 SANTA CECILIA DR",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925923211",
            "telephone_number": "760-888-7099",
            "fax_number": "270-675-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAO",
        "first_name": "TUONG-VAN",
        "middle_name": "T.",
        "credential": "H.H.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CA",
            "license": "ABMP # 875997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.