Individual provider Active NPI

Nils Tanaka, MD

  • Emergency Medicine Physician
  • Solvang, CA
National Provider Identifier
1134157860
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G57654 Issued in CA
Practice address
700 Alamo Pintado Rd
Solvang, CA 93463-2269
Phone
(805) 688-6431
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G57654 CA Primary
Internal Medicine Physician 207R00000X G57654 CA

Addresses

Primary practice location

700 Alamo Pintado Rd
Solvang, CA 93463-2269

Mailing address

PO Box 1403
Summerland, CA 93067-1403
Phone (805) 565-3231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090615000567 CA Practitioner - Internal Medicine 5193875052 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
57654CAMDDentist
G57654CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Can Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Nov 1, 2015 Accepting new patients
California Hospitalists Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Jun 15, 2015 Accepting new patients
Can Emergency Physicians Medical Group, Inc. Emergency Medicine Current Accepting new patients

Locations

4081 E Olympic Blvd
Los Angeles, CA 90023
Phone (323) 267-0477

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

13222 Bloomfield Ave
Norwalk, CA 90650
Phone (562) 207-9729

14662 Newport Ave
Tustin, CA 92780
Phone (714) 619-7700

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1134157860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1403",
            "city": "SUMMERLAND",
            "state": "CA",
            "postal_code": "930671403",
            "telephone_number": "805-565-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ALAMO PINTADO RD",
            "city": "SOLVANG",
            "state": "CA",
            "postal_code": "934632269",
            "telephone_number": "805-688-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANAKA",
        "first_name": "NILS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G57654",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G57654",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solvang, CA

Sources for this page

Verify at the official NPI Registry.