Individual provider Active NPI

Sally Tanakchi, MD

  • Anatomic Pathology Physician
  • San Diego, CA
National Provider Identifier
1164921763
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
162048 Issued in CA
Practice address
6655 Alvarado Rd
San Diego, CA 92120-5208
Phone
(619) 286-3270
NPI assigned
Feb 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 162048 CA Primary

Addresses

Primary practice location

6655 Alvarado Rd
San Diego, CA 92120-5208

Mailing address

5700 Southwyck Blvd
Toledo, OH 43614-1509
Phone (800) 288-8325

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
I20210622001026 CA Practitioner - Pathology 5496095747 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Desert Pathology Medical GroupGroup PAC ID 9537313028, 7 clinicians

Practice addresses (Care Compare)

2400 E 4TH St
National City, CA 91950-2026
Phone (619) 470-4321

5451 Walnut Ave
Chino, CA 91710-2609
Phone (805) 250-9233

6655 Alvarado Rd
San Diego, CA 92120-5208
Phone (619) 229-3172

7592 Metropolitan Dr
Suite 405407
San Diego, CA 92108-4428
Phone (619) 325-8741

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
162048CAMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Aug 1, 2021 Accepting new patients
High Desert Pathology Medical Group CurrentSince Dec 1, 2022 Accepting new patients
Regents of the University of California CurrentSince Aug 1, 2021 Accepting new patients
San Diego Pathologists Medical Group Inc CurrentSince Feb 1, 2026 Accepting new patients
Danner Laboratory Inc Past Accepting new patients

Locations

2400 E 4th St
National City, CA 91950
Phone (619) 470-4141

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130

6655 Alvarado Rd
Ste San
San Diego, CA 92120

7592 Metropolitan Dr
Ste 405
San Diego, CA 92108
Phone (619) 325-8726

1001 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 835-3555

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

5700 Southwyck Blvd
Toledo, OH 43614

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1164921763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 SOUTHWYCK BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141509",
            "telephone_number": "800-288-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 ALVARADO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205208",
            "telephone_number": "619-286-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANAKCHI",
        "first_name": "SALLY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-08",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CA",
            "license": "162048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.