Individual provider Active NPI

Virginia Tifuh Taku, NP

  • Family Nurse Practitioner
  • Modesto, CA
National Provider Identifier
1417524059
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95032965 Issued in CA
Practice address
2401 E Orangeburg Ave Ste 330
Modesto, CA 95355-3396
Phone
(813) 599-1022
NPI assigned
Jun 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95032965 CA Primary
Family Nurse Practitioner 363LF0000X 1052884 TX
Family Nurse Practitioner 363LF0000X 833086 NV

Addresses

Primary practice location

2401 E Orangeburg Ave Ste 330
Modesto, CA 95355-3396

Mailing address

2401 E Orangeburg Ave Ste 330
Modesto, CA 95355-3396
Phone (813) 599-1022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, TX, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220201000008 NV Practitioner - Nurse Practitioner 5698168466 Reassigns benefits to 2 organizations
I20240516002906 TX Practitioner - Nurse Practitioner 5698168466 Reassigns benefits to 4 organizations
I20250807003487 CA Practitioner - Nurse Practitioner 5698168466 Practice locations: Modesto, CA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mana Health Partners TX PLLCGroup PAC ID 7214455914, 35 clinicians

Practice addresses (Care Compare)

208 N Prairie St
Pilot Point, TX 76258-4057
Phone (940) 324-6620

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95032965CAMDFamily Nurse Practitioner
833086NVMDFamily Nurse Practitioner
1052884TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince May 1, 2022 Accepting new patients
Vpa of Texas PLLC CurrentSince Apr 10, 2024 Accepting new patients
Mana Health Partners TX PLLC CurrentSince Feb 12, 2026 Accepting new patients
Lubrime Integrative LLC Family CurrentSince Jun 3, 2025 Accepting new patients
Asmed LLC Family CurrentSince Feb 17, 2026 Accepting new patients
Pioneer Health Care LLC CurrentSince Dec 1, 2021 Accepting new patients
Vpa of Texas PLLC CurrentSince Apr 10, 2024 Accepting new patients
Mubder Health LLC Past Accepting new patients

Locations

2901 Health Care Way
Modesto, CA 95356
Phone (813) 599-1022

701 S Carson St
Ste 200
Carson City, NV 89701
Phone (617) 586-0958

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

3540 W Sahara Ave
#330
Las Vegas, NV 89102
Phone 7029216823 ext. 2

3540 W Sahara Ave
Ste 330
Las Vegas, NV 89102
Phone (702) 945-2321

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

3200 S Lancaster Rd
Ste 625
Dallas, TX 75216
Phone (813) 599-1022

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

1000 Sara Swamy Dr
Tom Bean, TX 75090
Phone (903) 891-1730

Organizations & group practices 8

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": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1417524059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 E ORANGEBURG AVE STE 330",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553396",
            "telephone_number": "813-599-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 E ORANGEBURG AVE STE 330",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553396",
            "telephone_number": "813-599-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKU",
        "first_name": "VIRGINIA",
        "middle_name": "TIFUH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95032965",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1052884",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "833086",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.