Organization Active NPI

Euphrate Behavioral Health

  • Nurse Practitioner
  • San Dimas, CA
National Provider Identifier
1427871631
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
EUPHRATE BEHAVIORAL HEALTH
Practice address
301 E Arrow Hwy Ste 101
San Dimas, CA 91773-3364
Phone
(310) 946-5578
NPI assigned
Nov 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Kemerick TakangNPI 1588284251
Title
NP
Phone
(310) 946-5578

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
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

301 E Arrow Hwy Ste 101
San Dimas, CA 91773-3364

Mailing address

5493 Stoneview Rd
Rancho Cucamonga, CA 91739-8933
Phone (310) 946-5578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20241206002953 CA Part B Supplier - Clinic/Group Practice 4082140587 Receives reassigned benefits from 1 practitioner
Practice locations: San Dimas, CA
O20260515001681 AZ Part B Supplier - Clinic/Group Practice 4082140587 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

301 E Arrow Hwy
Ste 101
San Dimas, CA 91773
Phone (310) 946-5578

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": "1730764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1427871631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5493 STONEVIEW RD",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398933",
            "telephone_number": "310-946-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E ARROW HWY STE 101",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733364",
            "telephone_number": "310-946-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUPHRATE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-05",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "TAKANG",
        "authorized_official_first_name": "KEMERICK",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "310-946-5578"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.