JENINE L TANABE MD A PROFESSIONAL CORPORATION
NPI 1669501664
Specialist in Marysville, CA
About Jenine L Tanabe Md A Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENINE L TANABE MD A PROFESSIONAL CORPORATION (NPI 1669501664) is a healthcare organization registered as a specialist in Marysville, California and active in the NPI registry since March 2007. The organization lists Jenine Lucille Tanabe, Owner/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jenine L Tanabe Md A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Jenine L Tanabe MD A Professional Corporation, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Jenine L Tanabe MD A Professional Corporation's NPI number?
The NPI number for Jenine L Tanabe MD A Professional Corporation is 1669501664. It was assigned to this organization in the NPPES registry on March 5, 2007.
Where is Jenine L Tanabe MD A Professional Corporation located?
Jenine L Tanabe MD A Professional Corporation is located at 414 G St Ste 204, Marysville, CA 95901. The listed phone number is (530) 743-0301.
What is Jenine L Tanabe MD A Professional Corporation's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Jenine L Tanabe MD A Professional Corporation enrolled in Medicare?
Yes. Jenine L Tanabe MD A Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jenine L Tanabe MD A Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Jenine L Tanabe MD A Professional Corporation, in Dermatology and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jenine L Tanabe MD A Professional Corporation was last updated on March 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jenine L Tanabe Md A Professional Corporation · NPI 1669501664
Specialist organization in Marysville, California. Organization record, active in the CMS NPPES registry since March 5, 2007.
## Identity
- **NPI:** 1669501664 (Entity type: Organization)
- **Enumerated:** March 5, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Jenine Tanabe, OWNER/PRESIDENT
## Practice location
- **Address:** 414 G ST STE 204, Marysville, CA 95901-5669
- **Phone:** (530) 743-0301 · **Fax:** (530) 743-2241
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 13, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1669501664) · Data from the CMS NPPES public registry.