Organization Active NPI

H. George Tanaka, M.D., P.C.

  • Ophthalmology Physician
  • San Francisco, CA
National Provider Identifier
1366625451
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G78526 Issued in CA
Legal business name
H. GEORGE TANAKA, M.D., P.C.
Practice address
1515 Scott St
Suite 2
San Francisco, CA 94115-3511
Phone
(415) 771-4020
Fax
(415) 771-4095
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Authorized official

Name
H George Tanaka, M.D.NPI 1285723411
Title
Owner
Phone
(415) 771-4020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G78526 CA Primary

Addresses

Primary practice location

1515 Scott St
Suite 2
San Francisco, CA 94115-3511

Mailing address

1515 Scott St
Suite 2
San Francisco, CA 94115-3511
Phone (415) 771-4020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080219000486 CA Part B Supplier - Clinic/Group Practice 9638252323 Receives reassigned benefits from 2 practitioners
Practice locations: Oakland, CA; San Francisco, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1366625451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 SCOTT ST",
            "address_2": "SUITE 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153511",
            "telephone_number": "415-771-4020",
            "fax_number": "415-771-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 SCOTT ST",
            "address_2": "SUITE 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153511",
            "telephone_number": "415-771-4020",
            "fax_number": "415-771-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H. GEORGE TANAKA, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "TANAKA",
        "authorized_official_first_name": "H",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-771-4020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G78526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.