Active NPI
Alexander Cao, PHARM.D.
- Pharmacotherapy Pharmacist
- Fontana, CA
National Provider Identifier
1891786869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 52683
- Practice address
- 17284 Slover Ave
Suite 204
Fontana, CA 92337-7584 - Phone
- (909) 427-3338
- NPI assigned
- Oct 31, 2005
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 52683 | CA | Primary |
| Pharmacist | 183500000X | 52683 | CA |
Addresses
Primary practice location
17284 Slover Ave
Suite 204
Fontana, CA 92337-7584
Mailing address
16905 Kirk View Dr
Hacienda Heights, CA 91745-5806
Phone (626) 810-4310
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52683 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1891786869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16905 KIRK VIEW DR",
"city": "HACIENDA HEIGHTS",
"state": "CA",
"postal_code": "917455806",
"telephone_number": "626-810-4310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17284 SLOVER AVE",
"address_2": "SUITE 204",
"city": "FONTANA",
"state": "CA",
"postal_code": "923377584",
"telephone_number": "909-427-3338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAO",
"first_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2007-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "CA",
"license": "52683",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "52683",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.