MARK MAKOTO TANAKA M.D.
NPI 1104904960
Emergency Medicine in San Leandro, CA
About Mark Makoto Tanaka M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK MAKOTO TANAKA M.D. (NPI 1104904960) is an individual emergency medicine provider in San Leandro, California, licensed in California (A83467) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Mark Makoto Tanaka M.d. 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94577 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mark Tanaka's NPI number?
The NPI number for Mark Tanaka is 1104904960. It was assigned to this individual provider in the NPPES registry on November 1, 2006.
Where is Mark Tanaka located?
Mark Tanaka practices at 2500 Merced St, San Leandro, CA 94577. The listed phone number is (510) 454-1000.
What is Mark Tanaka's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Mark Tanaka enrolled in Medicare?
Yes. Mark 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 Mark Tanaka was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Mark Makoto Tanaka, M.D. · NPI 1104904960
Emergency Medicine physician in San Leandro, California. Individual provider, active in the CMS NPPES registry since November 1, 2006.
## Identity
- **NPI:** 1104904960 (Entity type: Individual)
- **Enumerated:** November 1, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** A83467 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 MERCED ST, San Leandro, CA 94577-4201
- **Phone:** (510) 454-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of California, San Francisco School Of Medicine, class of 1999
## Record status
- **NPPES last updated:** December 9, 2021
- **Other identifiers:** Medicaid 00A834670 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1104904960) · Data from the CMS NPPES public registry.