AMANDA TAGLE MD NPI 1457367179

NPI Information

NPI: 1457367179
Provider Name: AMANDA TAGLE, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
7215 55TH STREET
SACRAMENTO, CA
ZIP 95823
Phone: (916) 399-1100
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Amanda Tagle, MD is a pediatrics in Sacramento, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Amanda Tagle, MD NPI is 1457367179. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7215 55TH STREET
SACRAMENTO, CA
ZIP 95823-601
Phone: (916) 399-1100
Fax: (877) 860-2397

The enumeration date for this NPI number is 8/1/2006 and was last updated on 3/30/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		A60188	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00A601880	OTHER	CALIFORNIA	MEDI CAL
2	P01288574/ DS9933	OTHER	CALIFORNIA	RAILROAD MEDICARE- 55TH ST
3	00A601880	MEDICAID	CALIFORNIA
4	P01453275-DV5277	OTHER	CALIFORNIA	RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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