Jane Chiyoko Tanaka, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G68725 Issued in CA

Practice address

15725 Snuz Mountain Rd
Ramona, CA 92065-7331

Phone

(760) 788-2445

Fax

(760) 788-2494

NPI assigned

Aug 17, 2006

Last updated

Nov 14, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 15, 2016 through Apr 15, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1225141765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15725 SNUZ MOUNTAIN RD",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920657331",
            "telephone_number": "760-788-2445",
            "fax_number": "760-788-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15725 SNUZ MOUNTAIN RD",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920657331",
            "telephone_number": "760-788-2445",
            "fax_number": "760-788-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANAKA",
        "first_name": "JANE",
        "middle_name": "CHIYOKO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G68725",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "G68725",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Sterling, LPC
• Katie Stewart, D.C
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• Kelcy Sutton
• Chisato Sweeney, B.S.
• Randall William Taylor, D.M.D.
• The Center for Family Unity
• The Speech Therapy Cottage Corp. (The Speech Cottage Co.)
• Thrifty Payless Inc (Rite Aid Pharmacy 05638)
• Crystal Ann Toyne, FNP

• Psychiatry Physician in Ramona, CA
• Providers in Ramona, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.