John Glenn Taketa, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G29937 Issued in CA

Practice address

5011 Shoreline Way
Oxnard, CA 93035

Phone

(805) 760-4662

NPI assigned

Sep 16, 2005

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1124013057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 SHORELINE WAY",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930352842",
            "telephone_number": "805-760-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 SHORELINE WAY",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "93035",
            "telephone_number": "805-760-4662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2486 N Ponderosa Dr",
            "address_2": "D-114",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930102376",
            "country_code": "US",
            "telephone_number": "805-484-2783",
            "fax_number": "805-987-8519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAKETA",
        "first_name": "JOHN",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G29937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seyed Mobin Tafreshi Khameneh
• Tai Duc Duong, DDS a Professinal Corp.
• Zachary Julian Taich, MD
• Rekha Tailor, M.D.
• Brenda Taing
• Trevor Takeyama, DPM
• Angela Tamayo
• Carlos A Tamayo, DDS
• Brian H Tamura, M.D.
• Bryan Patrick Tan, RPSGT

• Orthopaedic Surgery Physician in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.