Individual provider Active NPI

Greg Stuart Takemoto, M.D.

  • Internal Medicine Physician
  • Sacramento, CA
National Provider Identifier
1437163227
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G077070 Issued in CA
Practice address
7200 S Land Park Dr Ste 100
Sacramento, CA 95831-3669
Phone
(916) 422-9110
Fax
(916) 428-7888
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G077070 CA Primary

Addresses

Primary practice location

7200 S Land Park Dr Ste 100
Sacramento, CA 95831-3669

Mailing address

7200 S Land Park Dr Ste 100
Sacramento, CA 95831-3669
Phone (916) 422-9110

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081209000735 CA Practitioner - Emergency Medicine 9032270038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Hawaii John a. Burns School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capitol Urgent Care IncGroup PAC ID 5294992343, 12 clinicians

Practice addresses (Care Compare)

7200 S Land Park Dr
Suite 100
Sacramento, CA 95831-3669
Phone (916) 422-9110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G077070CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol Urgent Care Inc CurrentSince Mar 31, 2018 Accepting new patients

Locations

7200 S Land Park Dr
Ste 100
Sacramento, CA 95831
Phone (916) 422-9110

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1437163227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 S LAND PARK DR STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313669",
            "telephone_number": "916-422-9110",
            "fax_number": "916-428-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 S LAND PARK DR STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313669",
            "telephone_number": "916-422-9110",
            "fax_number": "916-428-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKEMOTO",
        "first_name": "GREG",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G077070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.