Provider Demographics
NPI:1790794972
Name:ABSHIRE, JAMES K (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:K
Last Name:ABSHIRE
Suffix:
Gender:M
Credentials:MD
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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:916-733-5384
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA049679207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0204274OtherCIGNA
CAMCMG123200OtherWESTERN HEALTH ADVANTAGE
CA1089819OtherGREAT WEST
CA4507046OtherAETNA
CA000810342976OtherPHCS
CA90026765OtherPACIFICARE
CA025554OtherHEALTH NET
CA44255OtherINTERPLAN
CA00A496790Medicaid
CA1452512OtherUNITED HEALTHCARE
CA48-0001403OtherCORVEL
CAA49679OtherBLUE CROSS
CA1060705OtherFIRST HEALTH
CA00A496790OtherBLUE SHIELD
CA90026765OtherPACIFICARE
F62053Medicare UPIN