Healthcare Provider Details

I. General information

NPI: 1407948987
Provider Name (Legal Business Name): DONALD HAURJAY TSAI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 EAST MOUNTAINVIEW STREET SUITE B
BARSTOW CA
92341
US

IV. Provider business mailing address

801 EAST MOUNTAINVIEW STREET SUITE B
BARSTOW CA
92311
US

V. Phone/Fax

Practice location:
  • Phone: 760-256-8901
  • Fax: 760-256-1211
Mailing address:
  • Phone: 760-256-8901
  • Fax: 760-256-1211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA30532
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA30532
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: