Provider Demographics
NPI:1932251733
Name:VOSS, JAMES MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:MICHAEL
Last Name:VOSS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4055 CORATINA WAY
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95742-8006
Mailing Address - Country:US
Mailing Address - Phone:916-608-4439
Mailing Address - Fax:916-270-2671
Practice Address - Street 1:4055 CORATINA WAY
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95742-8006
Practice Address - Country:US
Practice Address - Phone:916-524-5531
Practice Address - Fax:916-270-2671
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA91676207Q00000X, 207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A916760Medicaid
00A916760Medicare ID - Type Unspecified
CA00A916760Medicaid