Individual provider Active NPI

Rayann Takkouche, PA-C

  • Physician Assistant
  • Thousand Oaks, CA
National Provider Identifier
1326902107
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3095 Old Conejo Rd Ste 200
Thousand Oaks, CA 91320-2130
Phone
(805) 222-5803
NPI assigned
Dec 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

3095 Old Conejo Rd Ste 200
Thousand Oaks, CA 91320-2130

Mailing address

1589 Amsterdam Ave
Townsend Harris Hall
New York, NY 10031
Phone (212) 650-7718

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
City University of New York School of Medicine, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

22716 Paul Revere Dr
Calabasas, CA 91302-4812

3095 Old Conejo Rd
Suite 200
Thousand Oaks, CA 91320-2130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
California Dermatology Institute PC CurrentSince Jun 10, 2026 Accepting new patients

Locations

5632 Philadelphia St
Ste 202
Chino, CA 91710

25470 Medical Center Dr
Ste 204
Murrieta, CA 92562
Phone (951) 973-7294

4415 Brockton Ave
Riverside, CA 92501

3095 Old Conejo Rd
Ste 200
Thousand Oaks, CA 91320
Phone (805) 222-5803

Organizations & group practices 1

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": "1765756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1326902107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1589 AMSTERDAM AVE",
            "address_2": "TOWNSEND HARRIS HALL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10031",
            "telephone_number": "212-650-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3095 OLD CONEJO RD STE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913202130",
            "telephone_number": "805-222-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKKOUCHE",
        "first_name": "RAYANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-15",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.