Healthcare Provider Details

I. General information

NPI: 1275179210
Provider Name (Legal Business Name): SEAN YAW-SHYANG TSAI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2019
Last Update Date: 08/13/2025
Certification Date: 07/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17701 SAN PASQUAL VALLEY RD # 2023
ESCONDIDO CA
92025-5301
US

IV. Provider business mailing address

6943 AMBER LN
CARLSBAD CA
92009-1725
US

V. Phone/Fax

Practice location:
  • Phone: 714-617-4886
  • Fax:
Mailing address:
  • Phone: 760-812-9988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number127618
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: