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MIKIO TACHIBANA, M.D.
NPI 1265627731
Internal Medicine in Fountain Valley, CA

Active since September 07, 2007CLIA 05D0899364 · Waiver
11100 WARNER AVE, SUITE 154, FOUNTAIN VALLEY, CA 92708(714) 966-2800(714) 966-0421 Get Directions Write a Review

NPPES record last updated: September 7, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mikio Tachibana, M.d. NPPES

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

MIKIO TACHIBANA, M.D. (NPI 1265627731) is a healthcare organization registered as an internal medicine in Fountain Valley, California and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through November 18, 2027 and lists Mikio Tachibana, President, as its authorized official.

NPPES Registry Identity

NPI1265627731
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMIKIO TACHIBANA, M.D., INC
Location Address11100 WARNER AVE, SUITE 154Fountain Valley, CA 92708-7506
Mailing Address11100 Warner Ave, Suite 154Fountain Valley, CA 92708-7506 · (714) 966-2800 · Fax (714) 966-0421
Phone(714) 966-2800
Fax(714) 966-0421
Organization SubpartNo
Authorized OfficialMikio TachibanaPresident · (714) 966-2800
Enumeration DateSeptember 7, 2007
✔ NPI 1265627731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A35433
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
11100 WARNER AVE, Fountain Valley, CA 92708
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Other Names 1

Other NameMikio Tachibana, M.d.

Other Identifiers 2

Medicare UPINA27781CA
Medicaid00A354330CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0899364

Mikio Tachibana MD · Fountain Valley, CA
Active · expires Nov 18, 2027
CLIA Number05D0899364
Laboratory TypePhysician Office
Certificate Effective DateNovember 19, 2025
Certificate Expiration DateNovember 18, 2027
Laboratory DirectorMikio Tachibana
Laboratory Phone(714) 966-2800
Laboratory LocationMikio Tachibana MD11100 Warner Avenue Suite 154, Fountain Valley, CA 92708
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. SAJEET SINGH SAWHNEY M.D.
Internal Medicine (Nephrology)
11100 WARNER AVE, SUITE 218
FOUNTAIN VALLEY, CA 92708
Orange County (714) 641-9696
DR. ROBERT ALLAN DEVEREAUX MD
Family Medicine
11100 WARNER AVE, STE 100
FOUNTAIN VALLEY, CA 92708
Orange County (714) 957-9389
DR. VIJAYALAKSHMI WIJEYAKUMAR M.D.
Internal Medicine (Nephrology)
11100 WARNER AVE, SUITE 212
FOUNTAIN VALLEY, CA 92708
Orange County (714) 641-9696
PLATINUM MEDICAL CARE
Internal Medicine (Nephrology)
11100 WARNER AVE, SUITE 218
FOUNTAIN VALLEY, CA 92708
Orange County (714) 641-9696
FOUNTAIN VALLEY REGIONAL HOSPITAL AND MEDICAL CENTER
Pharmacist (Pharmacotherapy)
11100 WARNER AVE, SUITE 318
FOUNTAIN VALLEY, CA 92708
Orange County (714) 966-7217
SELECT HEALTHCARE SYSTEM, A MEDICAL CORPORATION
Health Maintenance Organization
11100 WARNER AVE, SUITE 152
FOUNTAIN VALLEY, CA 92708
Orange County (714) 343-7575
MRS. TOQUYNH DINH KIEU M.D.
Pediatrics
11100 WARNER AVE, SUITE # 116
FOUNTAIN VALLEY, CA 92708
Orange County (714) 641-0850
DR. AJIT SINGH SAWHNEY M.D.
Internal Medicine (Nephrology)
11100 WARNER AVE, SUITE 212
FOUNTAIN VALLEY, CA 92708
Orange County (714) 641-9696

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 Mikio Tachibana, M.D., Inc's NPI number?

The NPI number for Mikio Tachibana, M.D., Inc is 1265627731. It was assigned to this organization in the NPPES registry on September 7, 2007. The provider is also known as Mikio Tachibana, M.D..

Where is Mikio Tachibana, M.D., Inc located?

Mikio Tachibana, M.D., Inc is located at 11100 Warner Ave Suite 154, Fountain Valley, CA 92708. The listed phone number is (714) 966-2800.

What is Mikio Tachibana, M.D., Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Mikio Tachibana, M.D., Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0899364) is associated with this NPI, valid through November 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mikio Tachibana, M.D., Inc was last updated on September 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.