Clark S Tsai, M.D., Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G76192 Issued in CA

Legal business name

CLARK S TSAI, M.D., INC.

Practice address

350 30TH St
Suite 444
Oakland, CA 94609-3424

Phone

(925) 864-8886

Fax

(925) 689-7748

NPI assigned

Dec 8, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Clark S. Tsai, M.D.

Title

Ceo/President

Phone

(925) 864-8886

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Clark S Tsai MD Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Clark S Tsai, M.D. Inc

  • Ophthalmology Physician
  • Oakland, CA
  • NPI 1932476991
  NPD tax ID
• Clark S. Tsai, M.D., Inc.

  • Ophthalmology Physician
  • Oakland, CA
  • NPI 1487930996
  NPD tax ID
• Clark S. Tsai, M.D., Inc.

  • Ophthalmology Physician
  • Concord, CA
  • NPI 1699944298
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1871861559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 PORT CHICAGO HWY",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202051",
            "telephone_number": "925-864-8886",
            "fax_number": "925-689-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 30TH ST",
            "address_2": "SUITE 444",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093424",
            "telephone_number": "925-864-8886",
            "fax_number": "925-689-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK S TSAI, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "TSAI",
        "authorized_official_first_name": "CLARK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "925-864-8886",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G76192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G761992",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Norbert Clancy Jr.
• Kathleen Anne Clanon, MD
• Polly Clare-Rothe, MSW
• Laura Ann Clarizio, NP
• Clark S Tsai, M.D. Inc
• Clark S. Tsai, M.D., Inc.
• Annie Clark
• Ashlyn Clark
• Cassandra N Clark
• Cheree Clark

• Ophthalmology Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.