Philip Masao Tamanaha, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G36733 Issued in CA

Practice address

275 Hospital Dr
Ukiah, CA 95482-4531

Phone

(707) 463-7626

NPI assigned

Feb 16, 2007

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477697084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 803",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954820803",
            "telephone_number": "707-463-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 HOSPITAL DR",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824531",
            "telephone_number": "707-463-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMANAHA",
        "first_name": "PHILIP",
        "middle_name": "MASAO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G36733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan LH Sweet, MFT
• Kimberly Ann Swift
• Huong-Thy Ta
• Tabitha Kuehne, Marriage Family Child Therapist, a Professional Corporation
• Megan Brianna Talbert
• Glynis G Tambornini, M.S., CCC-A
• Mohammad Tamim
• Hendrik Ryan Lumakang Tan, DPM
• Robert Blake Tandy, D.D.S., M.S.
• Deborah L. Tannenbaum

• Diagnostic Radiology Physician in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.