David Cao
David Cao is a Nurse Practitioner in Garden Grove, California. Qualified in 2024, 2 years ago. Practices with Change Therapeutic Services Inc, a 4-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 2
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
12582 Josephine St Apt CGarden Grove, CA 92841-4662
Phone: (714) 661-4326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 95032228 (CA) |
|---|
Record details
| NPI number | 1376360149 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 24, 2024 |
| Last updated in NPPES | September 24, 2024 |
| Certification date | September 24, 2024 |
| Mailing address | 12582 Josephine St Apt C, Garden Grove, CA 92841-4662 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Change Therapeutic Services Inc — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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Barbara C Kenerson, PMHNP-BC
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Jenny Ky
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Alex Nguyen, PMHNP-BC
13202 Ranchero Pl, Garden Grove, CA 92843-2117 · (949) 426-8524