| Thomas Jin Tanaka, DPM | |
|
2295 S Vineyard Ave, Bldg. D, Ontario, CA 91761-7925 | |
| (909) 724-5052 | |
| (714) 832-0554 |
| Full Name | Thomas Jin Tanaka |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 38 Years |
| Location | 2295 S Vineyard Ave, Ontario, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770646812 | NPI | - | NPPES |
| 000E36480 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | E3648 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 9038 |
| Provider Name | Southern California Permanente Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Jin Tanaka, DPM 2295 S Vineyard Ave, Bldg. D, Ontario, CA 91761-7925 Ph: (714) 832-7212 | Thomas Jin Tanaka, DPM 2295 S Vineyard Ave, Bldg. D, Ontario, CA 91761-7925 Ph: (909) 724-5052 |
Dr. Youngsen Jeng, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 728 N Euclid Ave, Ontario, CA 91762 Phone: 718-250-6604 | |
Family Foot Center Podiatry Group Inc. Podiatrist Medicare: Medicare Enrolled Practice Location: 728 N Euclid Ave, Ontario, CA 91762 Phone: 909-984-5614 Fax: 909-984-4759 | |
Dr. Nuzhat Farzana Waheed, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 2234 S Euclid Ave, Suite E, Ontario, CA 91762 Phone: 909-983-5710 | |
Dr. Brad A Katzman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 728 N Euclid Ave, Ontario, CA 91762 Phone: 909-984-5614 Fax: 909-984-4759 | |
Wound Healing Care Specialists, Inc. Podiatrist Medicare: Medicare Enrolled Practice Location: 3536 Concours Ste 225, Ontario, CA 91764 Phone: 909-944-0486 Fax: 909-944-3161 | |
Andrew Camarena, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4758 S Bantam Paseo, Ontario, CA 91762 Phone: 818-667-8269 | |
Dr. Thomas J Magrann Iii, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 728 N Euclid Ave, Ontario, CA 91762 Phone: 909-984-5614 Fax: 909-984-4759 |