Active NPI
Scott Kiyoshi Tanaka, MD
- Orthopaedic Hand Surgery Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- A129847
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A129847 | Other | CA | CA 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Tulane University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 70.02
- Improvement activities
- 40
- Cost
- 74.54
Procedures performed for Medicare patients
| Procedure | Number 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
| License | State | Type | Specialty |
|---|---|---|---|
| A129847 | CA | MD | Orthopaedic Hand Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Orthopaedic Institute Medical Associates, Inc | Orthopaedic Surgery | Current | Accepting new patients |
| San Diego Orthopaedic Associates Medical Group, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| California Orthopaedic Institute Medical Associates, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| On Call Specialists Medical Group of San Diego, Inc. | Orthopaedic Surgery | Current | 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
- scott.tanaka.p48@direct.tenet.nextgenshare.com
- stanaka36708@scrippshlth.medalliesdirect.net
- 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.
-
- Orthopaedic Surgery Physician
- San Diego, CA
- NPI 1245290899
-
- Specialist
- San Diego, CA
- NPI 1962175836
Orthopaedic Surgery
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1407817448
Orthopaedic Surgery
-
- Physical Therapist
- San Diego, CA
- NPI 1659317204
Orthopaedic Surgery
-
dba Scripps Hospital Medical Services
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Clinical Medical Laboratory
- La Jolla, CA
- NPI 1427034990
-
dba Sierra Nevada Memorial Hospital
- General Acute Care Hospital
- Grass Valley, CA
- NPI 1659361392
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sharp Coronado Hospital
- General Acute Care Hospital
- Coronado, CA
- NPI 1154304475
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.