1. Home
  2. Directory
  3. California
  4. San Diego
  5. Nurse Practitioner
  6. NPI Profile

KATHRYN SANAE TANABE FNP
NPI 1255221982
Nurse Practitioner - Family in San Diego, CA

Active since July 04, 2025PECOS Enrolled
5845 FRIARS RD APT 1313, SAN DIEGO, CA 92110(808) 222-5025 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 16, 2026, Jan 19, 2026, Jul 4, 2025 (3 updates tracked since 2025).

About Kathryn Sanae Tanabe Fnp NPPES

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

KATHRYN SANAE TANABE FNP (NPI 1255221982) is an individual family provider in San Diego, California, licensed in California (95030187) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1255221982
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHRYN SANAE TANABECredential: FNP
Location Address5845 FRIARS RD APT 1313San Diego, CA 92110-6005
Mailing Address5845 Friars Rd Apt 1313San Diego, CA 92110-6005 · (808) 222-5025
Phone(808) 222-5025
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 4, 2025
Last NPPES UpdateMarch 16, 20263 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1255221982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95030187
5845 FRIARS RD APT 1313, San Diego, CA 92110
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Sanae Tanabe Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436637881
PECOS Enrollment IDI20260128002212
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.

Medicare Billing Reassignment

Medicare enrollment records show Kathryn Tanabe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Health Centers Of San Diego Inc
1.7 mi
Federally Qualified Health Center (FQHC)
4094 4TH AVE
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 1,100 clinicians in this Medicare group
NPI 1629456900 (619) 515-2545

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92110 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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 Kathryn Tanabe's NPI number?

The NPI number for Kathryn Tanabe is 1255221982. It was assigned to this individual provider in the NPPES registry on July 4, 2025.

Where is Kathryn Tanabe located?

Kathryn Tanabe practices at 5845 Friars Rd Apt 1313, San Diego, CA 92110. The listed phone number is (808) 222-5025.

What is Kathryn Tanabe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kathryn Tanabe enrolled in Medicare?

Yes. Kathryn Tanabe is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathryn Tanabe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Tanabe reassigns Medicare benefits to Family Health Centers Of San Diego Inc (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathryn Tanabe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kathryn Tanabe was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.