Active NPI
Amy Wan-Ju Kao, M.D.
- Diagnostic Radiology Physician
- San Bruno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A112376
- Practice address
- 1001 Sneath LN Ste 310
San Bruno, CA 94066-2349 - Phone
- (650) 615-6051
- Fax
- (650) 615-6066
- NPI assigned
- Apr 7, 2008
- Last updated
- Oct 14, 2025
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A112376 | CA | Primary |
Addresses
Primary practice location
1001 Sneath LN Ste 310
San Bruno, CA 94066-2349
Mailing address
1001 Sneath LN Ste 310
San Bruno, CA 94066-2349
Phone (650) 615-6051
Other practice location 1
13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone (855) 674-4624 ext. 44624
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NC, FL, OH, TX, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Ohio State University College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Choctaw Way
Talihina, OK 74571-2022
Phone (539) 316-6391
100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100
101 S Moore Ave
Claremore, OK 74017-5047
Phone (539) 234-1000
1201 Heritage Cir
Pawnee, OK 74058-3744
Phone (918) 762-2517
1202 Medical Ctr Dr
Wilmington, NC 28401-7307
Phone (910) 341-1540
13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone (239) 936-1343
1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002
Phone (580) 354-5000
1800 E Coplin St
Creek Nation Community Hospital
Okemah, OK 74859-4642
Phone (918) 623-1424
1801 Chukka Hina
Durant, OK 74701-7117
Phone (539) 316-6391
1801 Parkview Dr
El Reno, OK 73036-2103
Phone (405) 234-5600
5060 Bradenton Ave
Suite B
Dublin, OH 43017-3511
Phone (614) 505-8890
710 S Golden W Ave
Arcadia, CA 91007-6449
Phone (918) 935-3550
One Choctaw Way
Talihina, OK 74571-2022
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A112376 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Beacon Orthopaedics & Sports Medicine, LTD | Current | Accepting new patients | |
| Diagnostic Imaging Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Wilmington ASC LLC | Current | Accepting new patients | |
| Beacon Orthopaedics & Sports Medicine LTD | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Wilmington Health PLLC | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Locations
13813 Metro Pkwy
Fort Myers, FL 33912
Phone (239) 936-1343
3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705
6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827
311 S 15th St
Ste 205
Coshocton, OH 43812
Phone (740) 622-5060
5060 Bradenton Ave
Ste B
Dublin, OH 43017
Phone (609) 969-8562
2750 Newark Granville Rd
Granville, OH 43023
Phone (740) 788-9220
1800 E Coplin St
Okemah, OK 74859
Phone (918) 623-1424
1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641
900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
Dept 1467
Tulsa, OK 74182
Interoperability endpoints
- amy.kao.p1@direct.beaconortho.nextgenshare.com
- amy.kao.p1@direct.wilmingtonhealth.nextgenshare.com
Organizations & group practices 23
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba OrthoAlliance of Ohio
- Specialist
- Cincinnati, OH
- NPI 1386670065
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Multi-Specialty Clinic/Center
- Wilmington, NC
- NPI 1881632339
-
dba Choctaw Nation Health Care
- Rural Acute Care Hospital
- Talihina, OK
- NPI 1659347623
TX
-
dba Creek Nation Community Hospital
- Family Medicine Physician
- Okemah, OK
- NPI 1467053173
TX
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1275799645
-
dba Great Plains Medical Clinic
- Rural Health Clinic/Center
- Elk City, OK
- NPI 1023512308
Hospital
-
dba Great Plains Pat Wall Clinic
- Rural Health Clinic/Center
- Elk City, OK
- NPI 1114421492
Hospital
-
dba Great Plains Regional Medical Center
- General Acute Care Hospital
- Elk City, OK
- NPI 1184639122
-
dba Tahlequah City Hospital
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1003865999
-
dba Fort Gibson Medical Clinic
- Rural Health Clinic/Center
- Fort Gibson, OK
- NPI 1013458652
Hospital
-
dba Tahlequah Medical Group Primary Care
- Rural Health Clinic/Center
- Tahlequah, OK
- NPI 1306387949
Hospital
-
- Addiction (Substance Use Disorder) Counselor
- Tahlequah, OK
- NPI 1689338519
Hospital
-
dba Saint Francis Hospital Muskogee
- General Acute Care Hospital
- Muskogee, OK
- NPI 1386188837
-
dba St Anthony Shawnee Hospital
- General Acute Care Hospital
- Shawnee, OK
- NPI 1134123193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1891968384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 SNEATH LN STE 310",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940662349",
"telephone_number": "650-615-6051",
"fax_number": "650-615-6066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 SNEATH LN STE 310",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940662349",
"telephone_number": "650-615-6051",
"fax_number": "650-615-6066"
}
],
"practiceLocations": [
{
"address_1": "13813 METRO PKWY",
"address_purpose": "LOCATION",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124343",
"country_code": "US",
"telephone_number": "855-674-4624 x44624",
"fax_number": "941-883-8386",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAO",
"first_name": "AMY",
"middle_name": "WAN-JU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-07",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A112376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bruno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.