Healthcare Provider Details

I. General information

NPI: 1063161172
Provider Name (Legal Business Name): AMY TSAI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2022
Last Update Date: 04/26/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PASTEUR DRIVE DEPARTMENT OF ANESTHESIOLOGY
STANFORD CA
94305
US

IV. Provider business mailing address

300 PASTEUR DRIVE DEPARTMENT OF ANESTHESIOLOGY
STANFORD CA
94305
US

V. Phone/Fax

Practice location:
  • Phone: 650-723-5948
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA189137
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: