Thomas Jin Tanaka
DPM | Podiatrist | 37+ years Exp
Medicare Enrolled
2295 S Vineyard Ave, Bldg. D, Ontario
California, 91761-7925
909-724-5052 714-832-0554
Maps & DirectionsThomas Jin Tanaka is a Ontario, California based podiatrist with 37 years of experience in Podiatry. He completed his graduation from California School Of Podiatric Medicine in 1988. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Thomas Jin Tanaka for Podiatry is E3648 in California.
Thomas Jin Tanaka is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Thomas Jin Tanaka speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Podiatry |
| Credentials: | DPM |
| Experience: | 37+ years |
| Medical School Attended: | California School Of Podiatric Medicine |
| Graduation Year: | 1988 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 2295 S Vineyard Ave, Bldg. D, Ontario, California, 91761-7925 |
| Phone: | 909-724-5052 |
| Fax: | 714-832-0554 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 6002976826 |
| Enrollment ID: | I20081124000120 |
| NPI Number: | 1770646812 |
| NPI Enumeration Date: | 19 Dec, 2006 |
| NPI Last Update On: | 30 Nov, 2021 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Thomas Jin Tanaka are as mentioned below.
| License Number | Specialization | State | Status | |
| E3648 | Podiatry | California | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Thomas Jin Tanaka is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Southern California Permanente Medical Group (6002729175) | 7677 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Thomas Jin Tanaka such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 000E36480 | Medicaid | California | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2295 S Vineyard Ave, Bldg. D Ontario, California |
| Zip: | 91761-7925 |
| Phone Number: | 714-832-7212 |
| Fax Number: | 714-832-0554 |
Patients can reach Thomas Jin Tanaka at
2295 S Vineyard Ave, Bldg. D, Ontario, California or can
call to book an appointment on 909-724-5052.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.