Individual provider Active NPI

Douglas Tanita, M.D.

  • Obstetrics & Gynecology Physician
  • Henderson, NV
National Provider Identifier
1891004198
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
13860 Issued in NV
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

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
250009085MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL eClinicalWorks Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110922000605 NV Practitioner - Obstetrics/Gynecology 3173794138 Reassigns benefits to 3 organizations
I20230801000326 CA Practitioner - Obstetrics/Gynecology 3173794138 Reassigns benefits to 1 organization

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
Nevada Health Tanita PLLCGroup PAC ID 0446673016, 6 clinicians

Practice addresses (Care Compare)

1348 Paseo Verde Pkwy
Suite 100
Henderson, NV 89012-5723
Phone (702) 847-6252

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13860NVMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Humboldt General Hospital CurrentSince Jun 1, 2024 Accepting new patients
Humboldt General Hospital CurrentSince Jun 1, 2024 Accepting new patients
Nevada Health Tanita PLLC Obstetrics & Gynecology CurrentSince Jan 1, 2018 Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Jun 17, 2023 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.