Basic Information
| Provider Information | |||||||||
| NPI: | 1831191980 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PLANTE | ||||||||
| FirstName: | DEBORAH | ||||||||
| MiddleName: | K. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| 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: | 6555 COYLE AVE | ||||||||
| Address2: | |||||||||
| City: | CARMICHAEL | ||||||||
| State: | CA | ||||||||
| PostalCode: | 956080302 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9165362500 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/10/2005 | ||||||||
| LastUpdateDate: | 02/13/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RE0101X | C52025 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Endocrinology, Diabetes & Metabolism |
ID Information
| ID | Type | State | Issuer | Description | 2429057 | 01 | CA | UNITED HEALTHCARE | OTHER | 00C520250 | 05 | CA | MEDICAID | C52025 | 01 | CA | BLUE CROSS | OTHER | C520250 | 01 | CA | BLUE SHIELD | OTHER | 7924558 | 01 | CA | AETNA | OTHER | 90199467 | 01 | CA | PACIFICARE | OTHER | 127190 | 01 | CA | HEALTH NET | OTHER | 1956361 | 01 | CA | GREAT WEST | OTHER | 2181814 | 01 | CA | FIRST HEALTH | OTHER | 256568 | 01 | CA | INTERPLAN | OTHER | 000810725648 | 01 | CA | PHCS | OTHER | 3061184 | 01 | CA | CIGNA | OTHER | MCMG426500 | 01 | CA | WESTERN HEALTH ADVANTAGE | OTHER |