NPIMap

Organization Active NPI

La Tanya Takla

  • Marriage & Family Therapist
  • Fairfield, CA
National Provider Identifier
1265799951
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
49566 Issued in CA
Legal business name
LA TANYA TAKLA
Practice address
1652 W Texas St
Suite 131
Fairfield, CA 94533-6066
Phone
(650) 454-6109
Fax
(650) 231-2633
NPI assigned
Apr 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Mrs. La Tanya Alicia Takla, LMFTNPI 1366635526
Title
Marriage and Family Therapist
Phone
(650) 454-6109

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 49566 CA Primary

Addresses

Primary practice location

1652 W Texas St
Suite 131
Fairfield, CA 94533-6066

Mailing address

PO Box 3082
Redwood City, CA 94064-3082
Phone (650) 454-6109

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1265799951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3082",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940643082",
            "telephone_number": "650-454-6109",
            "fax_number": "650-231-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 W TEXAS ST",
            "address_2": "SUITE 131",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336066",
            "telephone_number": "650-454-6109",
            "fax_number": "650-231-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA TANYA TAKLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "TAKLA",
        "authorized_official_first_name": "LA TANYA",
        "authorized_official_middle_name": "ALICIA",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "650-454-6109",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "49566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.