Provider Demographics
NPI:1699743815
Name:CAI, SUJUAN (NP)
Entity type:Individual
Prefix:MRS
First Name:SUJUAN
Middle Name:
Last Name:CAI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 MIRANDA AVE BLDG 7E124
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1290
Mailing Address - Country:US
Mailing Address - Phone:650-493-5000
Mailing Address - Fax:650-849-1940
Practice Address - Street 1:3801 MIRANDA AVE BLDG 7E124
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1207
Practice Address - Country:US
Practice Address - Phone:650-493-5000
Practice Address - Fax:650-849-1940
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12259363LF0000X
CA576556163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP00414175OtherRAILROAD MEDICARE PROVIDER
CANP0122590Medicaid
NCP05083Medicare UPIN
CAP00414175OtherRAILROAD MEDICARE PROVIDER