Active NPI
Michele Michiko Tanaka Dias-Alcober, RRT, RCP
- Certified Respiratory Therapist
- Palo Alto, CA
National Provider Identifier
1013749696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Respiratory Therapist
- License
- 41121
- Practice address
- 3801 Miranda Ave BLDG 1
Palo Alto, CA 94304-1207 - Phone
- (650) 493-5000
- NPI assigned
- Aug 14, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | 41121 | CA | Primary |
Addresses
Primary practice location
3801 Miranda Ave BLDG 1
Palo Alto, CA 94304-1207
Mailing address
4426 Fenico Ter
Fremont, CA 94536-5627
Phone (510) 996-2200
Other names 1
- Michele Michiko Tanaka Dias
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41121 | CA | MD | Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1013749696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4426 FENICO TER",
"city": "FREMONT",
"state": "CA",
"postal_code": "945365627",
"telephone_number": "510-996-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 MIRANDA AVE BLDG 1",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041207",
"telephone_number": "650-493-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAS-ALCOBER",
"first_name": "MICHELE",
"middle_name": "MICHIKO TANAKA",
"credential": "RRT, RCP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-14",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "227800000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified",
"state": "CA",
"license": "41121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELE",
"last_name": "DIAS",
"middle_name": "MICHIKO TANAKA",
"credential": "RRT, RCP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.