Provider Demographics
NPI:1649254426
Name:TATE, JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:TATE
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 1:2888 EUREKA WAY
Mailing Address - Street 2:STE 100
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-0210
Mailing Address - Country:US
Mailing Address - Phone:530-243-9200
Mailing Address - Fax:530-243-9201
Practice Address - Street 1:2888 EUREKA WAY
Practice Address - Street 2:STE 100
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-0210
Practice Address - Country:US
Practice Address - Phone:530-243-9200
Practice Address - Fax:530-243-9201
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA89157174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist