What is Ken Tanisawa's NPI number?

Ken Tanisawa's National Provider Identifier (NPI) is 1669579660, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ken Tanisawa's specialty?

Ken Tanisawa is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).

Where is Ken Tanisawa located?

Ken Tanisawa's practice location on file with NPPES is 1419 Burlingame Avenue, Burlingame, CA 94010-4119.

What is Ken Tanisawa's phone number?

The practice phone number listed in the NPPES registry for Ken Tanisawa is (650) 342-7715.

Is Ken Tanisawa's NPI active?

Yes — Ken Tanisawa's NPI (1669579660) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Ken Tanisawa, OD

NPI 1669579660 · Optometrist · Burlingame, CA

Ken Tanisawa, OD is a Optometrist provider in Burlingame, CA (NPI 1669579660).

Provider details

NPI number: 1669579660
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Credential: OD
Sex: Male
Sole proprietor: No
License: 5604TPA (CA)

Specialties & taxonomies

OptometristPrimary152W00000XLicense 5604TPA (CA)
Eye and Vision Services Providers

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1419 Burlingame Avenue

Suite F

Burlingame, CA 94010-4119

Phone: (650) 342-7715

Fax: (650) 342-8182

Street-level locationGet directions

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Mailing address