Carly Akemi Takata

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA64869 Issued in CA

Practice address

5 Hutton Centre Dr Ste 950
Santa Ana, CA 92707-8744

Phone

(855) 434-7763

NPI assigned

Mar 27, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Accentcare Home Health of California, Inc Home health agency, Newport Beach, CA, CCN 057573
• Running River Home Health Services Home health agency, Cerritos, CA, CCN 559064
• Apex Home Health Care Services Home health agency, Santa Ana, CA, CCN 058341
• Remedy Home Health Care Home health agency, Northridge, CA, CCN 059162

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Senior Doc Integrated Med, PC

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1396526026
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Accentcare Home Health of California, Inc.

  • Home Health Agency
  • Newport Beach, CA
  • NPI 1528014982
  Care Compare affiliation
• Dan Home Health Care, Inc.

  • Home Health Agency
  • Northridge, CA
  • NPI 1609040740
  Care Compare affiliation
• Pinnacle Health Corporation

  • Home Health Agency
  • Anaheim, CA
  • NPI 1669524831
  Care Compare affiliation
• Running River Home Health Services

  • Home Health Agency
  • Cerritos, CA
  • NPI 1144374653
  Care Compare affiliation

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1013768217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 BAYPORT DR",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905038923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HUTTON CENTRE DR STE 950",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927078744",
            "telephone_number": "855-434-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKATA",
        "first_name": "CARLY",
        "middle_name": "AKEMI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-27",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA64869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Taguchi-Solorio, BCBA
• Naho Taguchi, M.D.
• Amy Jo Tai
• Julianna Taillon, LCSW
• Andy Takagi, DC
• Sandy Takata, B.A.
• Mei Takeda, BCBA
• Takeo Yamamoto, DDS Inc.
• Melissa Takeuchi-Gonzales
• Jasmine Takhar

• Physician Assistant in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.