CLARK S TSAI, M.D., INC. (NPI# 1871861559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871861559 |
| Entity Type | Organization |
| Organization Name | CLARK S TSAI, M.D., INC. |
| Practice Address |
350 30th St Suite 444 Oakland CA 94609-3424 |
| Mailing Address |
2225 Port Chicago Hwy Concord CA 94520-2051 |
| Practice Telephone | 9258648886 |
| Practice Fax Number | 9256897748 |
| Mailing Telephone | 9258648886 |
| Mailing Fax Number | 9256897748 |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2011-12-09 |
| Authorized Official Name | MR. CLARK S. TSAI (CEO/PRESIDENT) |
| Authorized Official Telephone | 9258648886 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | G76192 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G761992 | 05 |
| Street Address |
350 30TH ST SUITE 444 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-3424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932183472 | Yi Yi Stephanie Gu | Internal Medicine | 350 30th St, #320, Oakland, CA 94609-3424 | 2005-11-29 |
| 1225561095 | Jonathan R Dunham | Physician Assistant | 350 30th St, Suite 530, Oakland, CA 94609-3424 | 2017-04-07 |
| 1609317015 | Baychildren's Physicians | Obstetrics & Gynecology | 350 30th St, Suite 208, Oakland, CA 94609-3424 | 2017-03-17 |
| 1417320896 | Sarah Holmgren | Nurse Practitioner | 350 30th St, Suite 320, Oakland, CA 94609-3424 | 2015-11-05 |
| 1477975860 | Hiva Kolodrubetz | Registered Nurse | 350 30th St, #320, Oakland, CA 94609-3424 | 2014-01-20 |
| 1710322664 | Allyse Wharton | Physician Assistant | 350 30th St, Oakland, CA 94609-3424 | 2013-05-06 |
| 1578806329 | Aimee Keyashian | Internal Medicine | 350 30th St, #320, Oakland, CA 94609-3424 | 2013-03-30 |
| 1265774053 | Lynn Ellen Chiarello | Advanced Practice Midwife | 350 30th St, Suite 208, Oakland, CA 94609-3424 | 2013-03-20 |
| 1396001640 | Jennifer Brewster | Physician Assistant | 350 30th St, Suite 320, Oakland, CA 94609-3424 | 2012-04-11 |
| 1497012777 | Nicholas V Drbal | Podiatrist | 350 30th St, Suite 100, Oakland, CA 94609-3424 | 2012-04-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
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| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114299179 | Richard Arden Deutsche | Ophthalmology | 121 Hazel Lane, Oakland, CA 94611 | 2012-02-06 |
| 1528344751 | Daniel John Kim | Ophthalmology | 6020 Thornhill Dr, Oakland, CA 94611-2150 | 2011-11-02 |
| 1053612333 | E James Langham Md Inc | Ophthalmology | 491 30th Street, #201, Oakland, CA 94609-3235 | 2010-11-03 |
| 1669782124 | Jennifer Edith De Niro | Ophthalmology | 491 30th St Ste 201, Oakland, CA 94609-3235 | 2010-10-19 |
| 1285941195 | Samuel Reiter | Ophthalmology | 3772 Howe St Fl 3, Oakland, CA 94611 | 2010-09-13 |
| 1639303118 | Iryna Anatoliyevna Falkenstein | Ophthalmology | 491 30th St Ste 103, Oakland, CA 94609 | 2009-05-12 |
| 1790965341 | East Bay Retina Consultants A Medical Group, Inc. | Ophthalmology | 3300 Telegraph Ave., Oakland, CA 94609-3028 | 2007-11-13 |
| 1255438800 | Selim Taylan Koseoglu | Ophthalmology | 5275 Claremont Ave, Oakland, CA 94618-1032 | 2006-09-17 |
| 1023129095 | Richard Hoo Lee Jr. | Ophthalmology | 491 30th St Suite #201, Oakland, CA 94609 | 2006-08-31 |
| 1346274024 | Jane V Loman | Ophthalmology | 80 Grand Ave Ste 700, Oakland, CA 94612-3744 | 2006-07-10 |
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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.