Provider Demographics
NPI:1205840741
Name:TSAI, JANE (MD)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:TSAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 DATA DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-7956
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3000 Q ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-7058
Practice Address - Country:US
Practice Address - Phone:916-733-3400
Practice Address - Fax:916-733-5940
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA88637207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1851162OtherGREAT WEST
CA8058517OtherCIGNA
CA90142081OtherPACIFICARE
CAA88637OtherBLUE CROSS
CAMCMG357500OtherWESTERN HEALTH ADVANTAGE
CA2243675OtherFIRST HEALTH
CA000810623204OtherPHCS
CA2083393OtherUNITED HEALTHCARE
CA107163OtherHEALTH NET
CA7736250OtherAETNA
CA238697OtherINTERPLAN
CA000810623204OtherPHCS
CA107163OtherHEALTH NET