Active NPI
Holly Jo Pao, OD
- Optometrist
- Daly City, CA
National Provider Identifier
1821386244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14208
- Practice address
- 1 Serramonte Ctr
Daly City, CA 94015-2345 - Phone
- (650) 994-3390
- NPI assigned
- Jul 19, 2011
- Last updated
- Jul 26, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 14208 | CA | Primary |
Addresses
Primary practice location
1 Serramonte Ctr
Daly City, CA 94015-2345
Mailing address
2025 Junipero Serra Blvd
Ste 100
Daly City, CA 94014-3892
Phone (650) 994-3390
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14208 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469491200000",
"number": "1821386244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 JUNIPERO SERRA BLVD",
"address_2": "STE 100",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940143892",
"telephone_number": "650-994-3390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SERRAMONTE CTR",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940152345",
"telephone_number": "650-994-3390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAO",
"first_name": "HOLLY",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-19",
"last_updated": "2016-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.