Individual
AMANDA TAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7215 55TH STREET, SACRAMENTO, CA 95823-2601
(916) 399-1100
(877) 860-2397
Mailing address
625 FAIR OAKS AVE STE 270, SOUTH PASADENA, CA 91030-5801
(626) 346-2455
(626) 639-3005
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A60188
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A601880
MEDI CAL
CA
05
—
00A601880
—
CA
01
—
P01288574/ DS9933
RAILROAD MEDICARE- 55TH ST
CA
01
—
P01453275-DV5277
RAILROAD MEDICARE
CA
Enumeration date
08/01/2006
Last updated
03/30/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us