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RIKA TANAKA
NPI 1629691126
Psychologist - Clinical in Coronado, CA

Active since May 19, 2020Opted out of Medicare · through Dec 8, 2027

NPPES record last updated: May 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rika Tanaka NPPES

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

RIKA TANAKA (NPI 1629691126) is an individual clinical provider in Coronado, California, licensed in California (PSY30925) and active in the NPI registry since May 2020. She has opted out of Medicare through December 8, 2027.

NPPES Registry Identity

NPI1629691126
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameRIKA TANAKA
Location Address854 A AVECoronado, CA 92118-2646
Mailing AddressPo Box 182208Coronado, CA 92178-2208 · (619) 354-4027
Phone(619) 354-4027
Sole ProprietorYes
Enumeration DateMay 19, 2020
NPPES CertifiedMay 19, 2020
✔ NPI 1629691126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY30925
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologist · HealthTaxonomy 103TH0004X · License PSY30925 (CA)
854 A AVE, Coronado, CA 92118
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Rika Tanaka has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 8, 2021 through December 8, 2027.

Opt-Out Effective DateDecember 8, 2021
Opt-Out In Effect ThroughDecember 8, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

CORONADO PSYCHOLOGICAL ASSOCIATES
Psychologist (Clinical)
854 A AVE
CORONADO, CA 92118
San Diego County (619) 554-0120

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 Rika Tanaka's NPI number?

The NPI number for Rika Tanaka is 1629691126. It was assigned to this individual provider in the NPPES registry on May 19, 2020.

Where is Rika Tanaka located?

Rika Tanaka practices at 854 A Ave, Coronado, CA 92118. The listed phone number is (619) 354-4027.

What is Rika Tanaka's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Rika Tanaka enrolled in Medicare?

No. Rika Tanaka has opted out of Medicare through December 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Rika Tanaka was last updated on May 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.