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KA THAO MD
NPI 1073217238
Family Medicine in Davis, CA

Active since March 29, 2023PECOS Enrolled
1955 COWELL BLVD, DAVIS, CA 95618(530) 757-7100 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2026, Sep 9, 2025, Sep 4, 2025 and 1 more (4 updates tracked since 2023).

About Ka Thao Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KA THAO MD (NPI 1073217238) is an individual family medicine provider in Davis, California, licensed in California (A203955) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1073217238
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKA THAOCredential: MD
Location Address1955 COWELL BLVDDavis, CA 95618-6325
Mailing Address1955 Cowell BlvdDavis, CA 95618-6325 · (530) 757-7100
Phone(530) 757-7100
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 29, 2023
Last NPPES UpdateJuly 8, 20264 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1073217238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A203955
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1955 COWELL BLVD, Davis, CA 95618
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ka Thao Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092211326
PECOS Enrollment IDI20251003003784
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Ka Thao reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Permanente Medical Group Inc
40 mi
Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1336222397 (707) 651-1000
Shasta Community Health Center
144 mi
Federally Qualified Health Center (FQHC)
1201 INDUSTRIAL ST
Redding, CA 96002
  • Reassigned Medicare billing, California enrollment
  • 144 clinicians in this Medicare group
NPI 1669004123 (530) 246-5710

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95618 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUZANNE L. BIER MD
Obstetrics & Gynecology
1955 COWELL BLVD
DAVIS, CA 95618
Yolo County (916) 757-7100
RODNEY W ROEBUCK OD
Optometrist
1955 COWELL BLVD
DAVIS, CA 95618
Yolo County (530) 757-3941
LINDA LEONG LEE PHARM.D.
Pharmacist
1955 COWELL BLVD
DAVIS, CA 95618
Yolo County (530) 757-4024
CAROLYN ALYCE JIANG DO
Family Medicine
1955 COWELL BLVD
DAVIS, CA 95618
Yolo County (530) 757-7100
MARK D. HO MD
Internal Medicine
1955 COWELL BLVD
DAVIS, CA 95618
Yolo County (916) 757-7100
YVONNE S. OTANI MD
Pediatrics
1955 COWELL BLVD
DAVIS, CA 95618
Yolo County (916) 757-7100
JAMES BUCK RPH
Pharmacist
1955 COWELL BLVD
DAVIS, CA 95618
Yolo County (503) 757-4024
MS. PAMELA ANNE MONROE N.P.
Nurse Practitioner (Women's Health)
1955 COWELL BLVD
DAVIS, CA 95618
Yolo County (530) 757-4155

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ka Thao's NPI number?

The NPI number for Ka Thao is 1073217238. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Where is Ka Thao located?

Ka Thao practices at 1955 Cowell Blvd, Davis, CA 95618. The listed phone number is (530) 757-7100.

What is Ka Thao's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ka Thao enrolled in Medicare?

Yes. Ka Thao is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ka Thao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ka Thao reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (Vallejo, CA) and Shasta Community Health Center (Redding, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ka Thao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ka Thao was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.