Jason Takeuchi, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

A55240 Issued in CA

Practice address

1650 Borel PL Ste 208
San Mateo, CA 94402-3508

Phone

(650) 348-4900

Fax

(650) 375-2621

NPI assigned

Dec 12, 2006

Last updated

Nov 25, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 7, 2016 through Feb 7, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Child and Adult Psychiatrists of the Peninsula

  • Psychiatry Physician
  • San Mateo, CA
  • NPI 1528103561
  Authorized official Same address or phone

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1265593602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 BOREL PL STE 208",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023508",
            "telephone_number": "650-348-4900",
            "fax_number": "650-375-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 BOREL PL STE 208",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023508",
            "telephone_number": "650-348-4900",
            "fax_number": "650-375-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKEUCHI",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A55240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Tadla, NP
• Al V Taira, MD
• Marie Rose Tajon-Scott, MA
• Richard Takeshi Takasugi
• Kyle Taketa, DC
• Sachdeep Takhar, MD
• Sukhjit Singh Takhar, MD
• John M Takla, DDS
• Lucila B Takla, DDS
• Melieni Falemaka Talakai

• Child & Adolescent Psychiatry Physician in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.