Leo Tanaka MD Inc

Primary specialty

Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X

Legal business name

LEO TANAKA MD INC

Practice address

5555 Grossmont Center Dr
La Mesa, CA 91942-3019

Phone

(619) 740-6000

Fax

(619) 740-4380

NPI assigned

Jul 14, 2022

Organization subpart

No

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

Authorized official

Name

Hideaki L Tanaka, MDNPI 1124280730

Title

President-Physician

Phone

(425) 830-0884

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Hideaki Tanaka, MD

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1124280730

  Undersea and Hyperbaric Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Benito Nikolas Pascua

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1821558123
  Medicare reassignment Care Compare group NPD
• Matthew Louis

  • Family Medicine Physician
  • Palm Desert, CA
  • NPI 1316395726
  Medicare reassignment NPD

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1497489447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 CUYAMACA ST STE 201",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920712692",
            "telephone_number": "619-258-6200",
            "fax_number": "619-258-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 GROSSMONT CENTER DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423019",
            "telephone_number": "619-740-6000",
            "fax_number": "619-740-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEO TANAKA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "TANAKA",
        "authorized_official_first_name": "HIDEAKI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT-PHYSICIAN",
        "authorized_official_telephone_number": "425-830-0884",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124280730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leila Bolandgray, M.D. Inc.
• Daniel T. Leininger, D.O.
• Krista Leirmoe, LPC
• Betty Marie Lemos, MFT
• Eugene Lenard, D.O.
• Leonard Schlein
• Eva Pei-Srbich Leonard, M.D.
• Jennifer Ann Leonard
• Joseph Francis Leonard, M.D.
• Dana Christine Leonardi, M.A.,CCC-SLP

• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.