Active NPI
Brian Masato Tanabe, D.C.
- Chiropractor
- Rancho Cordova, CA
National Provider Identifier
1881887370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC25938
- Practice address
- 10901 Folsom Blvd
Suite C
Rancho Cordova, CA 95670 - Phone
- (916) 366-8771
- Fax
- (916) 366-8772
- NPI assigned
- Aug 20, 2007
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC25938 | CA | Primary |
Addresses
Primary practice location
10901 Folsom Blvd
Suite C
Rancho Cordova, CA 95670
Mailing address
10901 Folsom Blvd
Suite C
Rancho Cordova, CA 95670
Phone (916) 366-8771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111028000027 | CA | Practitioner - Chiropractic | 9032382528 | Practice locations: Rancho Cordova, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10901 Folsom Blvd
Suite C
Rancho Cordova, CA 95670-5162
Phone (916) 366-8771
10901 Folsom Blvd C
Rancho Cordova, CA 95670-5162
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC25938 | CA | MD | Chiropractor |
| 25938 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318982400000",
"number": "1881887370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10901 FOLSOM BLVD",
"address_2": "SUITE C",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "95670",
"telephone_number": "916-366-8771",
"fax_number": "916-366-8772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10901 FOLSOM BLVD",
"address_2": "SUITE C",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "95670",
"telephone_number": "916-366-8771",
"fax_number": "916-366-8772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANABE",
"first_name": "BRIAN",
"middle_name": "MASATO",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-20",
"last_updated": "2011-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC25938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cordova, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.