Individual provider Active NPI

Kanoko Taniguchi Tanaka, NMD

  • Naturopath
  • San Clemente, CA
National Provider Identifier
1396618393
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ND1592 Issued in CA
Practice address
629 Camino de Los Mares Ste 101
San Clemente, CA 92673-2829
Phone
(949) 866-1356
Fax
(949) 850-3500
NPI assigned
Sep 25, 2025
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X ND1592 CA Primary

Addresses

Primary practice location

629 Camino de Los Mares Ste 101
San Clemente, CA 92673-2829

Mailing address

629 Camino de Los Mares Ste 101
San Clemente, CA 92673-2829
Phone (949) 866-1356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1396618393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 CAMINO DE LOS MARES STE 101",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732829",
            "telephone_number": "949-866-1356",
            "fax_number": "949-850-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 CAMINO DE LOS MARES STE 101",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732829",
            "telephone_number": "949-866-1356",
            "fax_number": "949-850-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANAKA",
        "first_name": "KANOKO",
        "middle_name": "TANIGUCHI",
        "name_prefix": "Dr.",
        "credential": "NMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-25",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND1592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.