MISA TANAKA
NPI 1093269458
Internal Medicine - Geriatric Medicine in Los Angeles, CA

Active since August 15, 2016PECOS EnrolledAccepts Medicare Assignment
200 UCLA MEDICAL PLZ STE 365A, LOS ANGELES, CA 90095(310) 206-8272 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2024, Sep 19, 2024, Sep 13, 2016 and 1 more (4 updates tracked since 2016).

About Misa Tanaka NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISA TANAKA (NPI 1093269458) is an individual geriatric medicine provider in Los Angeles, California, licensed in California (A197393) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1093269458
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameMISA TANAKA
Location Address200 UCLA MEDICAL PLZ STE 365ALos Angeles, CA 90095-8344
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8707
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 15, 2016
Last NPPES UpdateNovember 6, 20244 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
NPI 1093269458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License Licensed in CA · A197393
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
200 UCLA MEDICAL PLZ STE 365A, Los Angeles, CA 90095

Other Names 1

Former Name (1)Misa Hyakutake

Secondary Practice Location 1

Location 1First Avenue at 16th StreetNew York, NY 10003 · Phone (212) 420-2000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Misa Tanaka is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254677503
PECOS Enrollment IDI20240926003821
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
200 UCLA MEDICAL PLZ STE 365A
LOS ANGELES, CA 90095
Internal Medicine (Geriatric Medicine)
200 UCLA MEDICAL PLZ STE 365A
LOS ANGELES, CA 90095
Internal Medicine (Geriatric Medicine)
200 UCLA MEDICAL PLZ STE 365A
LOS ANGELES, CA 90095
Internal Medicine (Geriatric Medicine)
200 UCLA MEDICAL PLZ STE 365A
LOS ANGELES, CA 90095
Nurse Practitioner (Adult Health)
200 UCLA MEDICAL PLZ STE 365A
LOS ANGELES, CA 90095
Internal Medicine (Geriatric Medicine)
200 UCLA MEDICAL PLZ STE 365A
LOS ANGELES, CA 90095
Social Worker (Clinical)
200 UCLA MEDICAL PLZ STE 365A
LOS ANGELES, CA 90095
Nurse Practitioner
200 UCLA MEDICAL PLZ STE 365A
LOS ANGELES, CA 90095

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Misa Tanaka's NPI number?

The NPI number for Misa Tanaka is 1093269458. It was assigned to this individual provider in the NPPES registry on August 15, 2016. The provider is also known as Misa Hyakutake.

Where is Misa Tanaka located?

Misa Tanaka practices at 200 Ucla Medical Plz Ste 365A, Los Angeles, CA 90095. The listed phone number is (310) 206-8272.

What is Misa Tanaka's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Misa Tanaka enrolled in Medicare?

Yes. Misa Tanaka is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Misa Tanaka was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.