Individual
JAMES E. TEARSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1391 WOODSIDE RD., SUITE 200, REDWOOD CITY, CA 94061-3574
(650) 368-3937
(650) 368-0270
Mailing address
1391 WOODSIDE RD., SUITE 200, REDWOOD CITY, CA 94061-3574
(650) 368-3937
(650) 368-0270
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A42953
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A429531
—
CA
01
—
180009109
RRM PIN
—
01
—
A42953
STATE LICENSE
—
01
—
DC7365
RRM GROUP
—
01
—
ZZZ09989Z
BLUE SHIELD GROUP
CA
Enumeration date
09/03/2006
Last updated
05/12/2015
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