Provider Demographics
NPI:1962609958
Name:TSAI, DEVIN (DO)
Entity type:Individual
Prefix:DR
First Name:DEVIN
Middle Name:
Last Name:TSAI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6363 CLARK AVE
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-3001
Mailing Address - Country:US
Mailing Address - Phone:510-882-7242
Mailing Address - Fax:
Practice Address - Street 1:3600 BROADWAY
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-5730
Practice Address - Country:US
Practice Address - Phone:510-882-7242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDO00656207P00000X
390200000X
CA11450207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA07/27/2010OtherTUFTS HEALTH PLAN
RI07012010OtherUNITED HEALTHCARE
MA110085510AMedicaid
RI08-26-2010OtherNHPRI
RI001646701OtherRI MEDICARE
RI07-19-2010OtherBCBSRI
RI939025129OtherRI MEDICARE GROUP PROVIDER NUMBER
RIDT81045Medicaid