Takeshia C. Niday, M.D. a Professional Corporation

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

A113548 Issued in CA

Legal business name

TAKESHIA C. NIDAY, M.D. A PROFESSIONAL CORPORATION

Practice address

2760 Fifth Ave
Suite 205
San Diego, CA 92103-6325

Phone

(619) 500-6566

Fax

(619) 374-2982

NPI assigned

Jan 10, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Takeshia Niday, M.D.

Title

President

Phone

(619) 500-6566

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1013339084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 FIFTH AVE",
            "address_2": "SUITE 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036325",
            "telephone_number": "619-500-6566",
            "fax_number": "619-374-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 FIFTH AVE",
            "address_2": "SUITE 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036325",
            "telephone_number": "619-500-6566",
            "fax_number": "619-374-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKESHIA C. NIDAY, M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "NIDAY",
        "authorized_official_first_name": "TAKESHIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-500-6566",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "A113548",
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "CA",
            "license": "A113548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nassim Moalemi Takahashi, BCBA
• Sam Shota Takahashi, DO
• Kelsey Takamori, RBT
• Varun Takanti, MD
• Ryan Takatani, P.A.
• Arshia Takestani
• Robert Kent Takesuye, D.O.
• Agueda Takeuchi, LMFT
• Asia Marie Fredrickson Takeuchi, M.D.
• Keita Takeuchi

• Psychiatric Hospital in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatric Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.