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LEO TANAKA MD INC
NPI 1497489447
Emergency Medicine - Undersea and Hyperbaric Medicine in La Mesa, CA

Active since July 14, 2022
5555 GROSSMONT CENTER DR, LA MESA, CA 91942(619) 740-6000(619) 740-4380 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 19, 2022, Jul 14, 2022 (2 updates tracked since 2022).

About Leo Tanaka Md Inc NPPES

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

LEO TANAKA MD INC (NPI 1497489447) is a healthcare organization registered as an undersea and hyperbaric medicine in La Mesa, California and active in the NPI registry since July 2022. The organization lists Hideaki L Tanaka, President-physician, as its authorized official.

NPPES Registry Identity

NPI1497489447
Entity TypeOrganization
Primary Taxonomy207PE0005X
Legal Business NameLEO TANAKA MD INC
Location Address5555 GROSSMONT CENTER DRLa Mesa, CA 91942-3019
Mailing Address9600 Cuyamaca St Ste 201Santee, CA 92071-2692 · (619) 258-6200 · Fax (619) 258-0028
Phone(619) 740-6000
Fax(619) 740-4380
Organization SubpartNo
Authorized OfficialHideaki L TanakaPresident-physician · (425) 830-0884
Enumeration DateJuly 14, 2022
Last NPPES UpdateJuly 19, 20222 updates tracked since enumeration
NPPES CertifiedJuly 19, 2022
✔ NPI 1497489447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Undersea and Hyperbaric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PE0005X
Definition
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
5555 GROSSMONT CENTER DR, La Mesa, CA 91942
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Other Identifiers 1

Medicaid1124280730CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leo Tanaka Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Leo Tanaka MD Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Benito Pascua
Emergency Medicine
NPI 1821558123
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts Medicare9.3 mi
Hideaki Tanaka, MD
Emergency Medicine
NPI 1124280730
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts Medicare9.3 mi
Steven Lada, MD
Emergency Medicine
NPI 1255074654
8910 VILLA LA JOLLA DR STE 100
La Jolla, CA 92037
(800) 926-8273
✔ PECOS✔ Accepts Medicare15 mi
Matthew Louis
Family Practice
NPI 1316395726
41865 BOARDWALK STE 103
Palm Desert, CA 92211
(760) 391-5151
✔ PECOS✔ Accepts Medicare76 mi

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

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 Leo Tanaka MD Inc's NPI number?

The NPI number for Leo Tanaka MD Inc is 1497489447. It was assigned to this organization in the NPPES registry on July 14, 2022.

Where is Leo Tanaka MD Inc located?

Leo Tanaka MD Inc is located at 5555 Grossmont Center Dr, La Mesa, CA 91942. The listed phone number is (619) 740-6000.

What is Leo Tanaka MD Inc's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Undersea and Hyperbaric Medicine, with taxonomy code 207PE0005X.

Is Leo Tanaka MD Inc enrolled in Medicare?

Yes. Leo Tanaka MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Leo Tanaka MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Leo Tanaka MD Inc. A 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 the clinician's services. The largest specialties are Emergency Medicine (3) and Family Practice (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Leo Tanaka MD Inc was last updated on July 19, 2022. 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.