Katherine M. Tanaka, M.D., Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G58916 Issued in CA

Legal business name

KATHERINE M. TANAKA, M.D., INC.

Practice address

5512 E Britton Dr Ste 200
Long Beach, CA 90815-3149

Phone

(562) 421-2020

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Katherine Mariko Tanaka, M.D.NPI 1336344878

Title

President

Phone

(562) 421-2020

Specialties & licenses 1

Addresses

Other names 1

• ADVANCED VISION CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Mariko Tanaka, M.D.

  • Ophthalmology Physician
  • Long Beach, CA
  • NPI 1336344878
  Medicare reassignment Care Compare group NPD Authorized official
• Christine Chizuko Terada, O.D.

  • Optometrist
  • Long Beach, CA
  • NPI 1275619827
  Medicare reassignment Care Compare group NPD
• Jill Anne Gould Pajaud, O.D.

  • Optometrist
  • Long Beach, CA
  • NPI 1184700650
  Medicare reassignment NPD
• Precious Faith Hwang, OD

  • Optometrist
  • Buena Park, CA
  • NPI 1598287104
  Medicare reassignment NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1225115249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5512 E BRITTON DR STE 200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153149",
            "telephone_number": "562-421-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5512 E BRITTON DR STE 200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153149",
            "telephone_number": "562-421-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE M. TANAKA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "TANAKA",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "MARIKO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-421-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G58916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED VISION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Lynn Kadolph Kasten, AUD
• Julie Kastigar
• Markus Kasunich
• Manjula Katakia
• Kyle Katayama, PA
• Kathleen Gay Bogner in Home Therapy Connections
• Nelda Bliss Katibian, MSW
• Katie Y Jang Optometry Professional Corporation
• Sabrina Katigbak, NP
• Anabella Katnich

• Ophthalmology Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.