Krystal Masako Tanioka, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

80884 Issued in CA

Practice address

24500 Alicia Pkwy
Mission Viejo, CA 92691-4508

Phone

(949) 583-1278

NPI assigned

Nov 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• MD Pharmaceuticals Corp

  • Community/Retail Pharmacy
  • Fountain Valley, CA
  • NPI 1417244047
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1982240552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24500 ALICIA PKWY",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926914508",
            "telephone_number": "949-583-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24500 ALICIA PKWY",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926914508",
            "telephone_number": "949-583-1278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9055 Garfield Ave",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927086560",
            "country_code": "US",
            "telephone_number": "714-962-4010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2617 E Chapman Ave Ste 111",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928693231",
            "country_code": "US",
            "telephone_number": "714-602-8350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANIOKA",
        "first_name": "KRYSTAL",
        "middle_name": "MASAKO",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "80884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjan Talebizadeh
• Jake Alexander Talley
• Tammam Sheabar DDS, Inc
• Yicheng Tang, M.D.
• Micah Ian Tanikawa, DMD
• Dawn Terese Tanner, M.D.
• Robert Charles Tarr, O.D.
• Ralph Joseph Tassinari, PHD
• Charles Vincent Tatosian
• Bahar Tavakolian Saleh

• Pharmacist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.