Basic Information
Provider Information
NPI: 1205840741
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TSAI
FirstName: JANE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3400 DATA DR
Address2:  
City: RANCHO CORDOVA
State: CA
PostalCode: 956707956
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 3000 Q ST
Address2:  
City: SACRAMENTO
State: CA
PostalCode: 958167058
CountryCode: US
TelephoneNumber: 9167333400
FaxNumber: 9167335940
Other Information
ProviderEnumerationDate: 07/28/2006
LastUpdateDate: 02/07/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XA88637CAY Allopathic & Osteopathic PhysiciansInternal Medicine 

ID Information
IDTypeStateIssuerDescription
185116201CAGREAT WESTOTHER
805851701CACIGNAOTHER
9014208101CAPACIFICAREOTHER
A8863701CABLUE CROSSOTHER
MCMG35750001CAWESTERN HEALTH ADVANTAGEOTHER
224367501CAFIRST HEALTHOTHER
00081062320401CAPHCSOTHER
208339301CAUNITED HEALTHCAREOTHER
10716301CAHEALTH NETOTHER
773625001CAAETNAOTHER
23869701CAINTERPLANOTHER


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