THOMAS JIN TANAKA DPM
NPI 1770646812
Podiatrist in Ontario, CA

Q: What is Thomas Tanaka's NPI number?

The NPI number for Thomas Tanaka is 1770646812. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Q: What is Thomas Tanaka's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Tanaka was last updated on November 30, 2021. 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.

Active since December 19, 2006PECOS EnrolledAccepts Medicare Assignment

2295 S VINEYARD AVE, BLDG. D, ONTARIO, CA 91761(909) 724-5052(714) 832-0554 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Thomas Jin Tanaka Dpm NPPES

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

THOMAS JIN TANAKA DPM (NPI 1770646812) is an individual podiatrist in Ontario, California, licensed in California (E3648) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (1988).

NPPES Registry Identity

NPI1770646812

Entity TypeIndividualMale

Primary Taxonomy213E00000X

Provider Legal NameTHOMAS JIN TANAKACredential: DPM

Location Address2295 S VINEYARD AVE, BLDG. DOntario, CA 91761-7925

Mailing Address2295 S Vineyard Ave, Bldg. DOntario, CA 91761-7925 · (714) 832-7212 · Fax (714) 832-0554

Phone(909) 724-5052

Fax(714) 832-0554

Sole ProprietorNo

Medical School CMSCalifornia School Of Podiatric MedicineGraduated 1988

Enumeration DateDecember 19, 2006

Last NPPES UpdateNovember 30, 2021

✔ NPI 1770646812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in CA · E3648

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

2295 S VINEYARD AVE, Ontario, CA 91761

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Other Identifiers 1

Medicaid000E36480CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas Jin Tanaka Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002976826

PECOS Enrollment IDI20081124000120

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 Thomas Tanaka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group

8.0 mi

Clinical Medical Laboratory

13000 PEYTON DR
Chino Hills, CA 91709

Reassigned Medicare billing, California enrollment
5,228 clinicians in this Medicare group

NPI 1396287082 (888) 750-0036

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 91761 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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. BENJAMIN MAURICE KERSHBERG M.D.

Pediatrics

2295 S VINEYARD AVE, MOB A
ONTARIO, CA 91761

San Bernardino County (909) 724-2554

MS. CHRISTINE RAMOS PHARM.D.

Pharmacist