Active NPI
Douglas Tanita, M.D.
- Obstetrics & Gynecology Physician
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 13860
- Practice address
- 1348 Paseo Verde Pkwy Ste 100
Henderson, NV 89012-5723 - Phone
- (702) 847-6252
- Fax
- (702) 847-6254
- NPI assigned
- Oct 4, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 13860 | NV | Primary |
Addresses
Primary practice location
1348 Paseo Verde Pkwy Ste 100
Henderson, NV 89012-5723
Mailing address
1348 Paseo Verde Pkwy Ste 100
Henderson, NV 89012-5723
Phone (702) 847-6252
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250009085 | Medicaid | NV |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | eClinicalWorks | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1348 Paseo Verde Pkwy
Suite 100
Henderson, NV 89012-5723
Phone (702) 847-6252
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13860 | NV | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humboldt General Hospital | Current | Accepting new patients | |
| Humboldt General Hospital | Current | Accepting new patients | |
| Nevada Health Tanita PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Obhg California, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Humboldt General Hospital | Current | Accepting new patients | |
| Sunrise Mountainview Hospital, Inc. | Past | Accepting new patients | |
| Henderson Hospital | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Summerlin Hospital Medical Center L L C | Past | Accepting new patients |
Locations
2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000
2185 Citracado Pkwy
Bldg 1
Escondido, CA 92029
5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711
220 Standiford Ave
Ste F
Modesto, CA 95350
Phone (209) 589-1500
400 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 569-7279
2420 W Horizon Ridge Pkwy
Ste 130
Henderson, NV 89052
Phone (702) 847-6252
1528 W Warm Springs Rd
Ste 100
Henderson, NV 89014
Phone (702) 213-5601
650 S Green Valley Pkwy
Ste 120
Henderson, NV 89052
Phone (702) 847-6252
1348 Paseo Verde Pkwy
Ste 100
Henderson, NV 89012
Phone (702) 847-6252
118 E Haskell St
Winnemucca, NV 89445
Phone (775) 623-5222
777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736
Interoperability endpoints
- https://api.platform.athenahealth.com/1566/brand/2/csg/41/fhir/r4
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 and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Henderson, NV
- NPI 1104384924
-
- Critical Access Hospital
- Winnemucca, NV
- NPI 1750498010
-
- Adult Medicine Physician
- Winnemucca, NV
- NPI 1922152784
-
- Land Ambulance
- Winnemucca, NV
- NPI 1699899229
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1770626426
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1003281452
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1831189638
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1104870187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1891004198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1348 PASEO VERDE PKWY STE 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890125723",
"telephone_number": "702-847-6252",
"fax_number": "702-847-6254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1348 PASEO VERDE PKWY STE 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890125723",
"telephone_number": "702-847-6252",
"fax_number": "702-847-6254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANITA",
"first_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-04",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NV",
"license": "13860",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "250009085",
"state": "NV"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "eClinicalWorks",
"affiliation": "N",
"endpointDescription": "EMR",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1348 Paseo Verde Pkwy Ste 100",
"city": "Henderson",
"state": "NV",
"country_code": "US",
"postal_code": "890125723",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.