Thomas Jin Tanaka is a Ontario, California based male podiatrist with 36 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:
Podiatrist
Credentials:
DPM
Experience:
36+ 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.