Healthcare Provider Details

I. General information

NPI: 1467179911
Provider Name (Legal Business Name): RIKIN TANK MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2022
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1510 E MAIN ST STE 101
SANTA MARIA CA
93454-4826
US

IV. Provider business mailing address

1510 E MAIN ST STE 101
SANTA MARIA CA
93454-4826
US

V. Phone/Fax

Practice location:
  • Phone: 805-928-0610
  • Fax: 805-928-0680
Mailing address:
  • Phone: 805-928-0610
  • Fax: 805-928-0680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: RIKIN H TANK
Title or Position: CEO/OWNER
Credential: M.D.
Phone: 805-928-0610