Tadashi Nitasaka, MD is a
Anesthesiology physician based in Glen Ellen, California. Tadashi Nitasaka is licensed to practice in California (license number G63573) and his current practice location is 13491 Mound Ave, Glen Ellen, California. He can be reached at his office (for appointments etc.) via phone at
(170) 799-6862.
NPI number for Tadashi Nitasaka is 1831146513 and his current mailing address is Po Box 1054, Glen Ellen, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831146513.
Physician's Profile
| Full Name | Tadashi Nitasaka |
|---|
| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 13491 Mound Ave, Glen Ellen, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1831146513
- Provider Enumeration Date: 05/28/2006
- Last Update Date: 05/15/2009
Medical Identifiers
Medical identifiers for Tadashi Nitasaka such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831146513 | NPI | - | NPPES |
| 00G635730 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | G63573 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tadashi Nitasaka is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tadashi Nitasaka, MD
Po Box 1054,
Glen Ellen, CA 95442-1054
Ph: (170) 799-6862 | Tadashi Nitasaka, MD
13491 Mound Ave,
Glen Ellen, CA 95442-1054
Ph: (170) 799-6862 |
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