Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Guillermo Javier Tanaka, MD

Individual provider Diagnostic Radiology Physician · NPI 1124033055

Dr. Guillermo Javier Tanaka, MD is a Diagnostic Radiology in Jackson, Mississippi. Graduated from Tulane University School of Medicine in 1995, 31 years ago. Practices with Regional Radiology, LLC, a 40-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana and Mississippi.

Years since qualifying
31
Trained at
Tulane University School of Medicine
Licensed in
LA, MS
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

969 Lakeland Dr
Jackson, MS 39216-4606
Phone: (877) 406-2916
Fax: (601) 682-7909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 433 Plaza St, Bogalusa, LA 70427-3729 — (985) 730-6803

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 16799 (MS)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 022779 (LA)

Record details

NPI number1124033055
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 29, 2006
Last updated in NPPESNovember 8, 2023
Certification dateNovember 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Regional Radiology, Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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