Provider Demographics
NPI:1629067210
Name:BIRD, JAMES SAXON (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:SAXON
Last Name:BIRD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1812 HARDMAN AVE
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-1409
Mailing Address - Country:US
Mailing Address - Phone:707-255-6069
Mailing Address - Fax:707-224-5220
Practice Address - Street 1:1100 TRANCAS ST
Practice Address - Street 2:SUITE 213
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-2908
Practice Address - Country:US
Practice Address - Phone:707-224-7944
Practice Address - Fax:707-224-5220
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG28964174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C381170Medicaid
CA00C381170Medicaid
CAA36847Medicare UPIN