Basic Information
| Provider Information | |||||||||
| NPI: | 1790794972 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ABSHIRE | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | K. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3400 DATA DR | ||||||||
| Address2: | |||||||||
| City: | RANCHO CORDOVA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 956707956 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 3000 Q ST | ||||||||
| Address2: | |||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958167058 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9167333400 | ||||||||
| FaxNumber: | 9167335940 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/05/2006 | ||||||||
| LastUpdateDate: | 02/07/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | A049679 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 0204274 | 01 | CA | CIGNA | OTHER | MCMG123200 | 01 | CA | WESTERN HEALTH ADVANTAGE | OTHER | 1089819 | 01 | CA | GREAT WEST | OTHER | 4507046 | 01 | CA | AETNA | OTHER | 000810342976 | 01 | CA | PHCS | OTHER | 90026765 | 01 | CA | PACIFICARE | OTHER | 025554 | 01 | CA | HEALTH NET | OTHER | 44255 | 01 | CA | INTERPLAN | OTHER | 00A496790 | 05 | CA | MEDICAID | 1452512 | 01 | CA | UNITED HEALTHCARE | OTHER | 48-0001403 | 01 | CA | CORVEL | OTHER | A49679 | 01 | CA | BLUE CROSS | OTHER | 1060705 | 01 | CA | FIRST HEALTH | OTHER | 00A496790 | 01 | CA | BLUE SHIELD | OTHER |