Individual provider Active NPI

Ryoko Takayama, LAC

  • Acupuncturist
  • Irvine, CA
National Provider Identifier
1144356361
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC10106 Issued in CA
Practice address
4950 Barranca Pkwy
Suite 301
Irvine, CA 92604-4671
Phone
(949) 836-2857
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC10106 CA Primary

Addresses

Primary practice location

4950 Barranca Pkwy
Suite 301
Irvine, CA 92604-4671

Mailing address

4950 Barranca Pkwy
Suite 301
Irvine, CA 92604-4671
Phone (949) 836-2857

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

State licenses

LicenseStateTypeSpecialty
AC10106CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1144356361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 BARRANCA PKWY",
            "address_2": "SUITE 301",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044671",
            "telephone_number": "949-836-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 BARRANCA PKWY",
            "address_2": "SUITE 301",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044671",
            "telephone_number": "949-836-2857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKAYAMA",
        "first_name": "RYOKO",
        "name_prefix": "Ms.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.