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NPI Code Detail

MEDICARE: DR. DEVIN TSAI D.O.

MEDICARE: DR. DEVIN TSAI D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianDO00656RI
2390200000XStudent in an Organized Health Care Education/Training Program
3207P00000XEmergency Medicine Physician11450CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5001646701OTHERRIRI MEDICARE
7939025129OTHERRIRI MEDICARE GROUP PROVIDER NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
107/27/2010OTHERMATUFTS HEALTH PLAN
207012010OTHERRIUNITED HEALTHCARE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
408-26-2010OTHERRINHPRI
607-19-2010OTHERRIBCBSRI
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962609958
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEVIN TSAI D.O.
Provider Business Mailing Address
First Line : 6363 CLARK AVE
Second Line :
City : DUBLIN
State : CA
Zip : 94568-3001
Country : US
Telephone Number : 510-882-7242
Fax Number :
Provider Business Practice Location Address
First Line : 3600 BROADWAY
Second Line :
City : OAKLAND
State : CA
Zip : 94611-5730
Country : US
Telephone Number : 510-882-7242
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2007
Last Update Date : 05/08/2023

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Directions to “ DR. DEVIN TSAI D.O.” Practice Location

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