Active NPI
Phu Cao
- Chore Provider
- Saint Paul, MN
National Provider Identifier
1699168385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chore Provider
- License
- D134053978008
- Practice address
- 1596 Gary PL
Saint Paul, MN 55119-4238 - Phone
- (763) 318-6040
- NPI assigned
- Mar 5, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | D134053978008 | MN | Primary |
| Adult Companion | 372600000X | D134053978008 | MN |
Addresses
Primary practice location
1596 Gary PL
Saint Paul, MN 55119-4238
Mailing address
1596 Gary PL
Saint Paul, MN 55119-4238
Phone (763) 318-6040
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D134053978008 | MN | MD | Adult Companion |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425513600000",
"number": "1699168385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1596 GARY PL",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551194238",
"telephone_number": "763-318-6040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1596 GARY PL",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551194238",
"telephone_number": "763-318-6040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAO",
"first_name": "PHU",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-05",
"last_updated": "2015-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "MN",
"license": "D134053978008",
"primary": true
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "MN",
"license": "D134053978008",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.