Mr Tazo Inui, MD in San Diego, CA

Mr Tazo Inui, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in San Diego, California. His current practice location is 3350 La Jolla Village Dr, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (858) 552-8585.

Mr Tazo Inui is licensed to practice in California (license number A115525) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659503316.

Contact Information

	Mr Tazo Inui, MD
	3350 La Jolla Village Dr, San Diego, CA 92161-0002
	(858) 552-8585
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr Tazo Inui
Gender	Male
Speciality	Surgery - Vascular Surgery
Location	3350 La Jolla Village Dr, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659503316
Provider Enumeration Date: 08/13/2009
Last Update Date: 02/24/2025

Medicare PECOS Information:

PECOS PAC ID: 2466715206
Enrollment ID: I20180410000531

Medical Identifiers

Medical identifiers for Mr Tazo Inui such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659503316	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	76451 (Arizona)	Secondary
2086S0129X	Surgery - Vascular Surgery	A115525 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Tazo Inui allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Tazo Inui is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Tazo Inui, MD 3350 La Jolla Village Dr, San Diego, CA 92161-0002 Ph: (858) 552-8585	Mr Tazo Inui, MD 3350 La Jolla Village Dr, San Diego, CA 92161-0002 Ph: (858) 552-8585

Reviews and Comments

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Mr Tazo Inui, MD - Medicare Surgery in San Diego, CA