Daniel Bruce Takeda, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G54086 Issued in CA

Practice address

2750 Sycamore Drive
Suite 202
Simi Valley, CA 93065-1500

Phone

(805) 527-9140

Fax

(805) 527-0783

NPI assigned

Sep 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of California, Geffen School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Home Care Services Home health agency, Simi Valley, CA, CCN 057537
• Access TLC Home Health Care Home health agency, San Fernando, CA, CCN 058366
• Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236

Merit-based Incentive Payment System (MIPS)

Final score

95.77 of 100Reported as apm

Quality

81.54

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Adventist Health Physicians Network

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1083976294

  CA, Family Medicine

  Medicare reassignment Care Compare group NPD
• Adventist Health Physicians Network

  • Multi-Specialty Clinic/Center
  • Hanford, CA
  • NPI 1063718583
  Care Compare group
• Adventist Health Physicians Network

  • Physical Therapy Clinic/Center
  • Paradise, CA
  • NPI 1134092190
  NPD
• Adventist Health Physicians Network

  • Urgent Care Clinic/Center
  • Glendale, CA
  • NPI 1407101447
  NPD
• Adventist Health Heart Institute-Ukiah

  • Multi-Specialty Clinic/Center
  • Ukiah, CA
  • NPI 1417295643
  NPD (past)
• Simi Valley Hospital and Health Care Services

  • General Acute Care Hospital
  • Simi Valley, CA
  • NPI 1063495190
  NPD (past)

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

• Simi Valley Hospital and Health Care Services

  • General Acute Care Hospital
  • Simi Valley, CA
  • NPI 1063495190

  Hospital

  Care Compare affiliation
• Vital Plus Home Health Care

  • Case Manager/Care Coordinator
  • San Fernando, CA
  • NPI 1619045176

  Home health agency

  Care Compare affiliation
• Western Health Resources

  • Home Health Agency
  • Simi Valley, CA
  • NPI 1043779473
  Care Compare affiliation

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1124120977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 SYCAMORE DRIVE",
            "address_2": "SUITE 202",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651500",
            "telephone_number": "805-527-9140",
            "fax_number": "805-527-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 SYCAMORE DRIVE",
            "address_2": "SUITE 202",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651500",
            "telephone_number": "805-527-9140",
            "fax_number": "805-527-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKEDA",
        "first_name": "DANIEL",
        "middle_name": "BRUCE",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G54086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0065680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Synergy Physical Therapy & Wellness, Inc
• Paul Thomas Szilagi, RPH
• SZM Medical Corp
• Kenneth George Szymanski, DDS
• T Care Transport Services LLC
• Alidz Talatinian
• Irene S. Tan, M.D.
• Jonah O. Tan, M.P.T., P.A.-C
• Tung Henry Tang, D.O.
• Craig Marcellus Tangner, MA,MED, MFT INTERN

• All providers in Simi Valley, CA
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.