Active NPI
Ted Satoshi Tanaka, D.P.M.
- Foot Surgery Podiatrist
- El Cerrito, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- E3450
- Practice address
- 11362 San Pablo Ave
El Cerrito, CA 94530-2135 - Phone
- (510) 233-4443
- Fax
- (510) 233-1337
- NPI assigned
- Dec 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | E3450 | CA | Primary |
Addresses
Primary practice location
11362 San Pablo Ave
El Cerrito, CA 94530-2135
Mailing address
11362 San Pablo Ave
El Cerrito, CA 94530-2135
Phone (510) 233-4443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E34500 | Other | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Shrader St
Suite 580
San Francisco, CA 94117-1016
Phone (415) 759-2014
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.65 of 100
- Quality
- 68.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 112 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3450 | CA | MD | Foot Surgery Podiatrist |
| 3450 | CA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Foot Care, Inc | Foot Surgery | Current | Accepting new patients |
| Bay Area Foot Care Inc | Current | Accepting new patients | |
| California Pacific Medical Group, Inc. | Past | Accepting new patients | |
| Alta Bates Summit Medical Center | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients |
Locations
400 Evelyn Ave
Ste 215
Albany, CA 94706
Phone (510) 526-4112
11362 San Pablo Ave
El Cerrito, CA 94530
Phone (510) 233-4443
1600 Creekside Dr
Ste 3100
Folsom, CA 95630
Phone (916) 269-8865
2844 Summit St
Ste 107
Oakland, CA 94609
Phone (510) 463-3888
1100 Laurel St
Ste E
San Carlos, CA 94070
Phone (650) 595-4148
1580 Valencia St
Ste 109
San Francisco, CA 94110
Phone (415) 285-7711
1 Shrader St
Ste 580
San Francisco, CA 94117
Phone (415) 292-0638
2114 McKee Rd
San Jose, CA 95116
Phone (408) 272-2211
750 Las Gallinas Ave
Ste 115
San Rafael, CA 94903
Phone (415) 472-5575
3536 Mendocino Ave
Ste 300B
Santa Rosa, CA 95403
Phone (707) 237-3410
47 Penny Ln
Ste 1
Watsonville, CA 95076
Phone (831) 728-8844
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- ted.tanaka.1@20181.direct.athenahealth.com
- ttanakadpm79505@hisp.ehr.sutterhealth.org
Organizations & group practices 5
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.
-
- Foot & Ankle Surgery Podiatrist
- San Francisco, CA
- NPI 1508911892
Foot Surgery
-
- Foot & Ankle Surgery Podiatrist
- San Jose, CA
- NPI 1649136490
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Oakland, CA
- NPI 1043358542
-
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1275002453
-
- Rehabilitation Hospital Unit
- Oakland, CA
- NPI 1194171371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1699751495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11362 SAN PABLO AVE",
"city": "EL CERRITO",
"state": "CA",
"postal_code": "945302135",
"telephone_number": "510-233-4443",
"fax_number": "510-233-1337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11362 SAN PABLO AVE",
"city": "EL CERRITO",
"state": "CA",
"postal_code": "945302135",
"telephone_number": "510-233-4443",
"fax_number": "510-233-1337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANAKA",
"first_name": "TED",
"middle_name": "SATOSHI",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "CA",
"license": "E3450",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "000E34500",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Cerrito, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.