Phong Thanh Dao, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20A9502 Issued in CA

Practice address

9225 Mira Mesa Blvd
Suite 206
San Diego, CA 92126-4820

Phone

(858) 831-1567

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902822265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11410 BELSHIRE LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921265553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 MIRA MESA BLVD",
            "address_2": "SUITE 206",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264820",
            "telephone_number": "858-831-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAO",
        "first_name": "PHONG",
        "middle_name": "THANH",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A9502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mi Dao, D.O.
• Minh Tram Nguyen Dao, L.C.S.W.
• Ngan Ngockim Dao
• Phat Dao
• Phillip Duc Dao, RPH
• Quynhhuong Dao, PHARMACIST
• Shirley Linh Dao, PHARM.D.
• Tina Phuong Dao
• Victoria Huyen Dao, DNP, FNP-BC, AGNP-BC
• Viet Trong Dao, M.D.

• Internal Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.