Individual provider Active NPI

Alexandra Takanikos, NP

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1285196998
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95011451 Issued in CA
Practice address
1800 Vine St Ste 221
Los Angeles, CA 90028-5250
Phone
(619) 327-9811
Fax
(619) 352-0970
NPI assigned
Apr 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95011451 CA Primary

Addresses

Primary practice location

1800 Vine St Ste 221
Los Angeles, CA 90028-5250

Mailing address

PO Box 801280
Kansas City, MO 64180-1280
Phone (530) 304-8066

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191114000698 CA Practitioner - Nurse Practitioner 5496098295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.11 of 100Reported as group
Quality
86.24
Promoting interoperability
100
Improvement activities
40
Cost
78.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95011451CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Concertocare Medical of New Jersey, PC CurrentSince Jul 28, 2024 Accepting new patients
Concertocare Medical Group of California, P.C. CurrentSince Jun 1, 2024 Accepting new patients

Locations

7677 Center Ave
Ste 214
Huntington Beach, CA 92647
Phone (310) 433-9507

7677 Center Ave
Huntington Beach, CA 92647
Phone (714) 881-8700

1800 Vine St
Ste 221
Los Angeles, CA 90028
Phone (213) 943-2490

811 Main St
#7
Kansas City, MO 64105

Organizations & group practices 2

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": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1285196998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801280",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641801280",
            "telephone_number": "530-304-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 VINE ST STE 221",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900285250",
            "telephone_number": "619-327-9811",
            "fax_number": "619-352-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKANIKOS",
        "first_name": "ALEXANDRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.