Individual provider Active NPI

Naho Taguchi, M.D.

  • Pediatrics Physician
  • Santa Ana, CA
National Provider Identifier
1124299839
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A109251 Issued in CA
Practice address
2212 E 4TH St Ste 201
Santa Ana, CA 92705-3872
Phone
(714) 288-3230
NPI assigned
Mar 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A109251 CA Primary

Addresses

Primary practice location

2212 E 4TH St Ste 201
Santa Ana, CA 92705-3872

Mailing address

2212 E 4TH St Ste 201
Santa Ana, CA 92705-3872
Phone (714) 288-3230

Other practice location 1

2915 Telegraph Ave Ste 200
Berkeley, CA 94705-2030
Phone (510) 843-4544

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110614000279 CA Practitioner - Pediatric Medicine 2567649817 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A109251CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation Current Accepting new patients
LPCH Medical Group Div of Lucile Pediatrics CurrentSince Nov 1, 2018 Accepting new patients
Providence Medical Foundation CurrentSince Dec 30, 2024 Accepting new patients
Providence Medical Foundation CurrentSince Dec 30, 2024 Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

2915 Telegraph Ave
Ste 200
Berkeley, CA 94705
Phone (510) 647-0893

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

2212 E 4th St
Ste 201
Santa Ana, CA 92705
Phone (714) 288-3230

2212 E 4th St
Santa Ana, CA 92705
Phone (714) 288-3230

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1124299839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 E 4TH ST STE 201",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053872",
            "telephone_number": "714-288-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 E 4TH ST STE 201",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053872",
            "telephone_number": "714-288-3230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2915 Telegraph Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947052030",
            "country_code": "US",
            "telephone_number": "510-843-4544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAGUCHI",
        "first_name": "NAHO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-20",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A109251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.