Individual provider Active NPI

Dong Ta Vo, MD

  • Specialist
  • San Jose, CA
National Provider Identifier
1740339555
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00C422710 Issued in CA
Practice address
1855 Alum Rock Ave Ste A1
San Jose, CA 95116-1398
Phone
(408) 251-7696
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 00C422710 CA Primary

Addresses

Primary practice location

1855 Alum Rock Ave Ste A1
San Jose, CA 95116-1398

Mailing address

1855 Alum Rock Ave Ste A1
San Jose, CA 95116-1398
Phone (408) 251-7696

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
I20101026001156 CA Practitioner - Neurology 0042403727 Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1855 Alum Rock Ave
San Jose, CA 95116-1398
Phone (408) 251-7696

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00C422710CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1740339555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 ALUM ROCK AVE STE A1",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161398",
            "telephone_number": "408-251-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 ALUM ROCK AVE STE A1",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161398",
            "telephone_number": "408-251-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VO",
        "first_name": "DONG",
        "middle_name": "TA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "00C422710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.