Individual provider Active NPI

Scott Kiyoshi Tanaka, MD

  • Orthopaedic Hand Surgery Physician
  • San Diego, CA
National Provider Identifier
1881843050
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
A129847 Issued in CA
Practice address
4060 4TH Ave Ste 700
San Diego, CA 92103-2121
Phone
(619) 299-8500
Fax
(619) 299-3370
NPI assigned
Sep 12, 2008
Last updated
Apr 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A129847 CA
Orthopaedic Hand Surgery Physician 207XS0106X A129847 CA Primary

Addresses

Primary practice location

4060 4TH Ave Ste 700
San Diego, CA 92103-2121

Mailing address

4060 4TH Ave Ste 700
San Diego, CA 92103-2121
Phone (619) 299-8500

Other identifiers 1

IdentifierTypeStateIssuer
A129847OtherCACA LICENSE

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140707001447 CA Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 8527200773 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
Tulane University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On Call Specialists Medical Group of San Diego IncGroup PAC ID 7911395231, 145 clinicians

Practice addresses (Care Compare)

4077 5TH Ave
San Diego, CA 92103-2105
Phone (619) 359-6600

7485 Mission Valley Rd
Suite 104a
San Diego, CA 92108-4422
Phone (619) 291-8930

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.37 of 100Reported as group
Quality
70.02
Improvement activities
40
Cost
74.54

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A129847CAMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Orthopaedic Institute Medical Associates, Inc Orthopaedic Surgery CurrentSince Jan 1, 2025 Accepting new patients
San Diego Orthopaedic Associates Medical Group, Inc. Orthopaedic Surgery CurrentSince Aug 10, 2017 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Jul 12, 2017 Accepting new patients
Scripps Health Current Accepting new patients
California Orthopaedic Institute Medical Associates, Inc. Orthopaedic Surgery CurrentSince Jan 1, 2025 Accepting new patients
On Call Specialists Medical Group of San Diego, Inc. Orthopaedic Surgery CurrentSince Oct 1, 2021 Accepting new patients
Scripps Health Past Accepting new patients
Sierra Nevada Memorial-Miners Hospital Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

4060 4th Ave
San Diego, CA 92103
Phone (619) 298-9931

4060 4th Ave
Ste 700
San Diego, CA 92103
Phone (619) 299-8500

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

650 E Devon Ave
Ste 165
Itasca, IL 60143
Phone (630) 285-1040

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: scott.tanaka.p48@direct.tenet.nextgenshare.com
  • Direct secure messaging: stanaka36708@scrippshlth.medalliesdirect.net
  • Direct secure messaging: tanakamd@sdoa1999.srs-direct.com

Organizations & group practices 9

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1881843050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 4TH AVE STE 700",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032121",
            "telephone_number": "619-299-8500",
            "fax_number": "619-299-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 4TH AVE STE 700",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032121",
            "telephone_number": "619-299-8500",
            "fax_number": "619-299-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANAKA",
        "first_name": "SCOTT",
        "middle_name": "KIYOSHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-12",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A129847",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "A129847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "A129847",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.