Active NPI
Satoshi Tateshima, MD
- Vascular & Interventional Radiology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- A105145
- Practice address
- 100 UCLA Medical PLZ Ste 100
Los Angeles, CA 90024-7000 - Phone
- (310) 301-6800
- Fax
- (310) 794-9035
- NPI assigned
- Jun 16, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | A105145 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | A105145 | CA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | A105145 | CA | Primary |
Addresses
Primary practice location
100 UCLA Medical PLZ Ste 100
Los Angeles, CA 90024-7000
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A1051450 | Medicaid | CA |
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
- Diagnostic Radiology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 933-1554
2865 Atlantic Ave
Suite 104
Long Beach, CA 90806-7406
Phone (562) 933-1820
300 UCLA Medical PLZ
Suite B130
Los Angeles, CA 90095-8346
Phone (310) 206-0456
722 Baker St
Costa Mesa, CA 92626-4320
Phone (714) 557-6300
757 Westwood PLZ
Los Angeles, CA 90095-8358
Phone (310) 825-9111
Hospital & facility affiliations
- Ronald Reagan UCLA Medical Center
- Memorialcare Long Beach Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.17 of 100
- Quality
- 81.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.64
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.13 of 100
- Quality
- 62.91
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A105145 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Current | Accepting new patients | |
| UCLA Radiology Medical Group | Diagnostic Radiology | Current | Accepting new patients |
| Memorialcare Medical Foundation | Neurological Surgery | Current | Accepting new patients |
| Regents of the University of California | Current | Accepting new patients | |
| Long Beach Memorial Medical | Past | Accepting new patients | |
| Bristol Park Medical Group, Inc | Past | Accepting new patients | |
| The Regents of the University of California | Past | Accepting new patients | |
| University of California San Francisco | Past | Accepting new patients | |
| Saddleback Memorial Medical Center | Past | Accepting new patients | |
| UCLA Medical Group | Diagnostic Radiology | Past | Accepting new patients |
| Orange Coast Memorial Medical Center | Past | Accepting new patients | |
| Long Beach Memorial Medical | Past | Accepting new patients | |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients | |
| Jeffrey B Riker MD a Professional Corporation | Past | Accepting new patients | |
| Martin Luther King, Jr. - Los Angeles (MLK-la) Healthcare Corporation | Past | Accepting new patients |
Locations
26585 Agoura Rd
Ste 210
Calabasas, CA 91302
Phone (818) 878-0028
722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300
1000 Flower St
Glendale, CA 91201
Phone (818) 659-5000
2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000
2865 Atlantic Ave
Ste 104
Long Beach, CA 90806
Phone (562) 933-1820
File 59755
Los Angeles, CA 90074
10833 Le Conte Ave
Los Angeles, CA 90095
Phone (310) 301-8932
100 Medical Plz
Ste 170
Los Angeles, CA 90095
Phone (415) 353-2808
100 UCLA Medical Plz
Ste 100
Los Angeles, CA 90024
Phone (310) 206-8900
300 UCLA Medical Plz
Ste B130
Los Angeles, CA 90095
Phone (310) 206-0456
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
4343 Lankershim Blvd
Ste 300
North Hollywood, CA 91602
4343 Lankershim Blvd
#200
North Hollywood, CA 91602
Phone (818) 843-9038
1187 Coast Village Rd
Ste 10A
Santa Barbara, CA 93108
Phone (805) 565-0020
1187 Coast Village Rd
Ste 10B
Santa Barbara, CA 93108
Phone (805) 403-8541
1245 16th St
Ste 105
Santa Monica, CA 90404
Phone (310) 319-3489
1250 16th St
Santa Monica, CA 90404
Phone (310) 301-8695
Interoperability endpoints
- stateshima137176@direct.memorialcare.org
- satoshi.tateshimamd.p105@direct.nautilus.nextgenshare.com
- stateshima48626@direct.uclahealth.org
Organizations & group practices 15
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.
-
- Clinic/Center
- Fountain Valley, CA
- NPI 1205167350
Neurological Surgery
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1881670248
-
- Internal Medicine Physician
- Glendale, CA
- NPI 1891110888
-
- Durable Medical Equipment & Medical Supplies
- Woodland Hills, CA
- NPI 1083063127
-
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1043266760
-
- Pulmonary Disease Physician
- Long Beach, CA
- NPI 1285952853
-
- Rehabilitation Hospital Unit
- Long Beach, CA
- NPI 1396791414
-
- Children's Hospital
- Long Beach, CA
- NPI 1477596583
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1114367497
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
-
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
-
- Rehabilitation Hospital Unit
- Laguna Hills, CA
- NPI 1114967114
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1962442012
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576022400000",
"number": "1922042068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 UCLA MEDICAL PLZ STE 100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900247000",
"telephone_number": "310-301-6800",
"fax_number": "310-794-9035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATESHIMA",
"first_name": "SATOSHI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2019-12-11",
"certification_date": "2019-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "CA",
"license": "A105145",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A105145",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "CA",
"license": "A105145",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A1051450",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.