Barbara Hitomi Tanaka, NURSE PRACTITIONER

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

20796 Issued in CA

Practice address

11515 El Camino Real
Suite 100
San Diego, CA 92130-3038

Phone

(858) 794-6363

NPI assigned

Oct 23, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1427453182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5705 FRIARS RD UNIT 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921101805",
            "telephone_number": "408-891-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11515 EL CAMINO REAL",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303038",
            "telephone_number": "858-794-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANAKA",
        "first_name": "BARBARA",
        "middle_name": "HITOMI",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "20796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Tan
• Victor Tan
• Zehui Tan, M.D.
• Kathryn Sanae Tanabe, FNP
• Tomoko Tanabe, M.D.
• Glenn K Tanaka, D.C.
• Hideaki Tanaka, MD
• Laurence K Tanaka, MD
• Mamoru Tanaka, D.D.S, FACP
• Masaji Tanaka, PHARM.D.

• Women's Health Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Women's Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.