Individual provider Active NPI

Emaka Takashima

  • Psychiatric/Mental Health Nurse Practitioner
  • Carlsbad, CA
National Provider Identifier
1043460306
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95012615 Issued in CA
Practice address
5838 Edison PL Ste 100
Carlsbad, CA 92008-5520
Phone
(800) 275-3243
NPI assigned
Sep 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95012615 CA Primary

Addresses

Primary practice location

5838 Edison PL Ste 100
Carlsbad, CA 92008-5520

Mailing address

5838 Edison PL Ste 100
Carlsbad, CA 92008-5520
Phone (800) 275-3243

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191120001660 CA Practitioner - Nurse Practitioner 0042642639 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95012615CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
WK Medical Group Psychiatric/Mental Health CurrentSince Jul 1, 2020 Accepting new patients
LGTC Group Psychiatric/Mental Health PastSince May 20, 2025 Accepting new patients
Los Gatos Therapy Center PastSince Apr 17, 2022 Accepting new patients
Foothill Family Service Past Accepting new patients

Locations

1575 Old Bayshore Hwy
Ste 201
Burlingame, CA 94010
Phone (408) 542-0399

2542 S Bascom Ave
Ste 100
Campbell, CA 95008
Phone (408) 559-3403

2235 Douglas Blvd
Ste 500
Roseville, CA 95661
Phone (916) 625-6878

4850 Union Ave
San Jose, CA 95124
Phone (408) 559-5600

1298 Kifer Rd
Ste 515
Sunnyvale, CA 94086
Phone (408) 559-3403

Organizations & group practices 4

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Medical Group 19 clinicians

Practice addresses (Care Compare)

1298 Kifer Rd
Suite 515
Sunnyvale, CA 94086-5321
Phone (800) 913-2615

4850 Union Ave
San Jose, CA 95124-5156
Phone (800) 913-2615

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1043460306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5838 EDISON PL STE 100",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920085520",
            "telephone_number": "800-275-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5838 EDISON PL STE 100",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920085520",
            "telephone_number": "800-275-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKASHIMA",
        "first_name": "EMAKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95012615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.