Robert Tadashi Hatanaka, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E3814 Issued in CA

Practice address

1101 N Pacific Ave
Ste 104
Glendale, CA 91202

Phone

(818) 552-5000

Fax

(818) 552-2959

NPI assigned

Mar 3, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Affordable Medical Center & Urgent Care Inc

  • Urgent Care Clinic/Center
  • Los Angeles, CA
  • NPI 1972146843
  NPD

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1487621801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N PACIFIC AVE",
            "address_2": "STE 104",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91202",
            "telephone_number": "818-552-5000",
            "fax_number": "818-552-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N PACIFIC AVE",
            "address_2": "STE 104",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91202",
            "telephone_number": "818-552-5000",
            "fax_number": "818-552-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATANAKA",
        "first_name": "ROBERT",
        "middle_name": "TADASHI",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E38140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harvard Pro Home Health, Inc.
• Rua Issa Hasan
• Hasbun Medical Center
• Nader Hashoush, DDS
• Edward Hatamian
• Jennifer Nicole Hathwell
• Have Faith Home Health Service
• Have Faith Hospice Services Inc
• Haven Hospice, Inc.
• Gary Jordan Havens, M.D.

• Podiatrist in Glendale, CA
• Providers in Glendale, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.