Nathan Tanoue, MD
Individual provider Active NPI Surgical Critical Care Physician · Sacremento, CA
NPI 1922590447 · NPPES record last updated Aug 28, 2024
Key facts
- NPI
- 1922590447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Critical Care Physician 2086S0102X
- License
- A195514 (CA)
- Practice address
- 2335 Stockton Blvd.
Naob 5TH Floor
Sacremento, CA 95817 - Phone
- (916) 734-5638
- NPI assigned
- May 31, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Critical Care (Intensivists)
- Education
- University of Arizona College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- County of Santa Clara
Practice addresses (Care Compare)
751 S Bascom Ave
Santa Clara Vly Med
San Jose, CA 95128-2604
Phone (408) 885-5000
Hospital & facility affiliations
- Santa Clara Valley Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250929002676 | CA | Practitioner - Critical Care (Intensivists) | 0042561847 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Clara | Current |
Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current |
Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients | |
| The Univeristy of Arizona | Past | Accepting new patients |
Locations
7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400
500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433
750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320
660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366
Interoperability endpoints
- ntanoue238618@santaclaravalley.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | A195514 | CA | Yes |
Addresses
Primary practice location
2335 Stockton Blvd.
Naob 5TH Floor
Sacremento, CA 95817
Mailing address
1501 N Campbell, Room 4334
PO Box 245058
Tucson, AZ 85724-5058
Phone (520) 626-7747
Other providers in Sacremento, CA
- MDR Care LLC
- Rowena Deleon Nolasco
- Laura Holley Osecheck
- Lazanya Lorene Ragster Johnson
- Daisy Rodriguez
All providers in Sacremento, CA · Surgical Critical Care Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.