Active NPI
Nils Tanaka, MD
- Emergency Medicine Physician
- Solvang, CA
National Provider Identifier
1134157860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G57654
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57654 | CA | MD | Dentist |
| G57654 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Can Emergency Physicians Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| California Hospitalists Emergency Physicians Medical Group Inc | Emergency Medicine | Current | 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.
-
- Emergency Medicine Physician
- Norwalk, CA
- NPI 1760648539
-
- Emergency Medicine Physician
- Panorama City, CA
- NPI 1265810006
-
- Emergency Medicine Physician
- Tustin, CA
- NPI 1386018356
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
- Steven G. Johnson Dental Corporation (Johnson Family Dental)
- Amber Dawn Stickerod, M.A.
- Brita Stone, CNM
- SWL Medical Inc
- Andrea Hardison Tackett, MD, FACC
- Beverly Christa Taylor, MFT
- Terrell J. White
- The Healing Project Physical Therapy, Inc.
- Nikki Thibault, MA
- Thrifty Payless Inc (Rite Aid Pharmacy 06185)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.