Provider Demographics
NPI:1205025996
Name:JUMAGDAO-SAKAI, MARIA DELIE TY (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA DELIE
Middle Name:TY
Last Name:JUMAGDAO-SAKAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARIA DELIE
Other - Middle Name:TY
Other - Last Name:JUMAGDAO (SAKAI)
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:GILROY FAMILY MEDICAL GROUP, INC., 9460 NO NAME UNO
Mailing Address - Street 2:#115
Mailing Address - City:GILROY
Mailing Address - State:CA
Mailing Address - Zip Code:95020
Mailing Address - Country:US
Mailing Address - Phone:408-842-3134
Mailing Address - Fax:
Practice Address - Street 1:9460 N NAME UNO STE 115
Practice Address - Street 2:GILROY FAMILY MEDICAL GROUP
Practice Address - City:GILROY
Practice Address - State:CA
Practice Address - Zip Code:95020-3536
Practice Address - Country:US
Practice Address - Phone:408-842-3134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-17
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA96657207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine