DR. JACK M. TSAI (NPI# 1013147438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013147438 |
| Entity Type | Individual |
| Full Name | DR. JACK M. TSAI |
| Credential | D.M.D. |
| Practice Address |
24901 Santa Clara St # B2 Hayward CA 94544-2147 |
| Mailing Address |
24901 Santa Clara St Ste 2 Hayward CA 94544-2147 |
| Practice Telephone | 5108876835 |
| Mailing Telephone | 5108876835 |
| Mailing Fax Number | 5108872872 |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2020-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DEN1000822 | DC | Dental Providers |
| N | 122300000X | Dentist | 0401412484 | VA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
103712 | CA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14416 Jefferson Davis Hwy, Woodbridge, VA 221912801 | 7034921999 | 7034926379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063799419 | Jack Tsai | Psychologist | 950 Campbell Ave # 151d, West Haven, CT 06516-2770 | 2011-11-14 |
| 1184887838 | Jack Shin-yow Tsai | Family Medicine | 2790 Atlantic Ave, Long Beach, CA 90806-2755 | 2008-07-02 |
| 1265591002 | Jack Tsai | Emergency Medicine | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2006-12-07 |
| 1114911179 | Jack Ching-kuan Tsai | Dentist | 8300 Garvey Ave, Rosemead, CA 91770-2651 | 2005-09-07 |
| Street Address |
24901 SANTA CLARA ST # B2 |
| City | HAYWARD |
| State | CA |
| Zip Code | 94544-2147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417574385 | Jack M Tsai Dmd Inc | Dentist | 24901 Santa Clara St # B2, Hayward, CA 94544-2147 | 2020-06-26 |
| 1568928778 | Exconde-evangelista Dental Corporation | Clinic/Center | 24901 Santa Clara St # B2, Hayward, CA 94544-2147 | 2019-02-12 |
| 1750839957 | Jaime V. Evangelista, Jr | Dentist | 24901 Santa Clara St # B2, Hayward, CA 94544-2147 | 2016-09-15 |
| 1215396809 | Dr Jaime V. Evangelista Jr., Dmd | Dentist | 24901 Santa Clara St # B2, Hayward, CA 94544-2147 | 2016-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659845147 | Yves Richard Preval | Respiratory Therapist, Registered | 29843 Baltic Ct, Hayward, CA 94544 | 2019-01-17 |
| 1578044764 | Dionisia Maria Inocencio | Psychologist | 24823 Soto Rd, Hayward, CA 94544 | 2018-08-24 |
| 1235642307 | Ana Cecilia Contreras | Counselor | 550 Berry Ave, 1, Hayward, CA 94544 | 2017-11-13 |
| 1528580990 | Mind Fitness Center | Counselor | 225 West. Winton Ave, Suite 202d, Hayward, CA 94544 | 2017-07-07 |
| 1831628262 | Edith Mcneal | Counselor | 31518 Medinah St., Hayward, CA 94544 | 2017-06-08 |
| 1629456520 | Kevin Porciuncula | Family Medicine | 1251 W Tennyson Rd Ste 4, Hayward, CA 94544 | 2015-05-12 |
| 1104226273 | Mohamed Conteh | Social Worker | 555 Sycamore Avenue #4, Hayward, CA 94544 | 2014-08-26 |
| 1386993558 | Jose Angel Gonzalez Jr. | Counselor | 107 Jackson St., Hayward, CA 94544 | 2012-09-04 |
| 1003171828 | Alameda County Public Health Nursing | Public Health or Welfare | 24085 Amador, Hayward, CA 94544 | 2012-07-09 |
| 1114208907 | Building Opportunities for Self Sufficiency | Community/Behavioral Health | 730 #8 Bartlett Ave, Hayward, CA 94544 | 2011-09-07 |
| Find all providers in zip 94544 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289753 | Victoria Nguyen | Dentist | 24703 Amador St Ste 2, Hayward, CA 94544-1832 | 2020-09-15 |
| 1366924912 | Foothill Dental Group | Dentist | 22755 Foothill Blvd, Hayward, CA 94541-4207 | 2018-08-30 |
| 1295110716 | Julian Salgado Alivia | Dentist | 2136 Edgebrook Pl, Hayward, CA 94541-5448 | 2015-07-27 |
| 1740684158 | Galvan-guerrero Dental Office | Dentist | 389 Gresel St, Hayward, CA 94544-7642 | 2014-10-14 |
| 1518213347 | Olga Kournoutas | Dentist | 19682 Hesperian Blvd Ste 101, Hayward, CA 94541-4752 | 2012-07-30 |
| 1063770253 | Erick N Cuenca, Dmd, Inc | Dentist | 20483 Hesperian Blvd, Hayward, CA 94541-4705 | 2012-04-25 |
| 1922386077 | Sh Nguyen Dental Corporation | Dentist | 31133 Mission Blvd, Hayward, CA 94544-7603 | 2011-07-22 |
| 1710113790 | George N Sarikakis | Dentist | 28055 Dobbel Ave, Hayward, CA 94542-2445 | 2009-06-04 |
| 1245470111 | Jocelyn Riel Dmd | Dentist | 1320 Apple Ave Ste 202, Hayward, CA 94541-1552 | 2009-03-04 |
| 1023276250 | Sunny Afsaneh Safari IIi | Dentist | 1041 Mckeever Ave, Hayward, CA 94541-4022 | 2008-05-23 |
| Find all providers in HAYWARD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.