Jenine L Tanabe MD a Professional Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

JENINE L TANABE MD A PROFESSIONAL CORPORATION

Practice address

414 G St Ste 204
Marysville, CA 95901-5669

Phone

(530) 743-0301

Fax

(530) 743-2241

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Jenine Lucille Tanabe, MDNPI 1558466680

Title

Owner/President

Phone

(530) 743-0301

Specialties & licenses 1

Addresses

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.

• Jenine Lucille Tanabe, M.D.

  • Specialist
  • Marysville, CA
  • NPI 1558466680

  CA, Specialist

  Medicare reassignment NPD Authorized official
• Shirley Richards, FNP-C

  • Specialist
  • Marysville, CA
  • NPI 1821124520

  CA, Specialist

  Medicare reassignment NPD
• Samantha W Geweke, PA

  • Medical Physician Assistant
  • Marysville, CA
  • NPI 1992719322

  CA

  Medicare reassignment

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1669501664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 G ST STE 204",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015669",
            "telephone_number": "530-743-0301",
            "fax_number": "530-743-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 G ST STE 204",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015669",
            "telephone_number": "530-743-0301",
            "fax_number": "530-743-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENINE L TANABE MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "TANABE",
        "authorized_official_first_name": "JENINE",
        "authorized_official_middle_name": "LUCILLE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "530-743-0301",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Inouye
• Hilla P Irani, MD
• Kevin Iravani
• William J Irvine, M.D.
• Jasbir S Kang MD & Sanjiv Midha MD a Medical Corporation
• Tyler Gid Jenkins
• Virginia Jenkins
• Gurkeerat Johl
• Jancy John, CRNA
• Theodore John, M.D.

• All providers in Marysville, CA
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.