Active NPI
Cesar L Dua, M.D.
- Pediatrics Physician
- Sacramento, CA
National Provider Identifier
1881676302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A62556
- Practice address
- 3946 Norwood Ave
Sacramento, CA 95838-3300 - Phone
- (916) 564-0521
- Fax
- (877) 860-2907
- NPI assigned
- Nov 18, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD00046252 | WA | |
| Pediatrics Physician | 208000000X | A62556 | CA | Primary |
Addresses
Primary practice location
3946 Norwood Ave
Sacramento, CA 95838-3300
Mailing address
625 Fair Oaks Ave Ste 270
South Pasadena, CA 91030-5801
Phone (626) 346-2455
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061413 | Other | CA | BOARD CERTIFICATION # |
| 00A625560 | Other | CA | BLUE SHIELD OF CA PIN |
| P01498288 | Other | CA | RAILROAD MEDICARE-DV5277 |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 62556 | CA | MD | Pharmacist |
Interoperability endpoints
- cdua646131@direct.ochin.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1881676302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 FAIR OAKS AVE STE 270",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910305801",
"telephone_number": "626-346-2455",
"fax_number": "626-639-3005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3946 NORWOOD AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958383300",
"telephone_number": "916-564-0521",
"fax_number": "877-860-2907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUA",
"first_name": "CESAR",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD00046252",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A62556",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD CERTIFICATION #",
"identifier": "061413",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA PIN",
"identifier": "00A625560",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE-DV5277",
"identifier": "P01498288",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.