Individual provider Active NPI

Tomoko Takano, MS, RN, CNS

  • Clinical Nurse Specialist
  • Burlingame, CA
National Provider Identifier
1134697238
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
4754 Issued in CA
Practice address
1520 Los Montes Dr
Burlingame, CA 94010-5964
Phone
(248) 703-4518
NPI assigned
Nov 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X 4754 CA Primary

Addresses

Primary practice location

1520 Los Montes Dr
Burlingame, CA 94010-5964

Mailing address

1520 Los Montes Dr
Burlingame, CA 94010-5964
Phone (248) 703-4518

Other identifiers 1

IdentifierTypeStateIssuer
4754OtherCACLINICAL NURSE SPECIALIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Specialist, Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4754CAMDClinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1134697238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 LOS MONTES DR",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940105964",
            "telephone_number": "248-703-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 LOS MONTES DR",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940105964",
            "telephone_number": "248-703-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKANO",
        "first_name": "TOMOKO",
        "credential": "MS, RN, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "CA",
            "license": "4754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL NURSE SPECIALIST",
            "identifier": "4754",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.