Provider Demographics
NPI:1831191980
Name:PLANTE, DEBORAH K (MD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:K
Last Name:PLANTE
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 1:6555 COYLE AVE
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-0302
Practice Address - Country:US
Practice Address - Phone:916-536-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC52025207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA2429057OtherUNITED HEALTHCARE
CA00C520250Medicaid
CAC52025OtherBLUE CROSS
CAC520250OtherBLUE SHIELD
CA7924558OtherAETNA
CA90199467OtherPACIFICARE
CA127190OtherHEALTH NET
CA1956361OtherGREAT WEST
CA2181814OtherFIRST HEALTH
CA256568OtherINTERPLAN
CA000810725648OtherPHCS
CA3061184OtherCIGNA
CAMCMG426500OtherWESTERN HEALTH ADVANTAGE
CA256568OtherINTERPLAN
CA000810725648OtherPHCS