Individual provider Active NPI

Gagan Takhar

  • Physician Assistant
  • Chico, CA
National Provider Identifier
1457914772
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA56910 Issued in CA
Practice address
80 Declaration Dr
Chico, CA 95973-4900
Phone
(530) 894-6832
Fax
(530) 342-4199
NPI assigned
Apr 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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 PA56910 CA Primary

Addresses

Primary practice location

80 Declaration Dr
Chico, CA 95973-4900

Mailing address

5757 Pacific Ave Ste 228
Stockton, CA 95207-5159
Phone (209) 490-5050

Other practice location 1

1888 Hardial Dr
Yuba City, CA 95993-9430
Phone (530) 300-1027

Other practice location 2

1310 Club Dr
Vallejo, CA 94592
Phone (707) 638-5200

Other practice location 3

296 Cottage Ave
Manteca, CA 95336-4942
Phone (209) 624-7006

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Gtakhar@hodarimd.com

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
I20200229000089 CA Practitioner - Physician Assistant 9335576461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hodari MD Dermatology IncGroup PAC ID 0244575827, 9 clinicians

Practice addresses (Care Compare)

1178 Live Oak Blvd
Yuba City, CA 95991-3407
Phone (530) 894-6832

95 Declaration Dr
Suite 1
Chico, CA 95973-4916
Phone (530) 894-6832

Hospital & facility affiliations

  • Oroville Hospital Hospital, Oroville, CA, CCN 050030

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA56910CAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: gtakhar@rejuvene.emadirect.md
  • Direct secure messaging: gtakhar@hodarimd.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1457914772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 PACIFIC AVE STE 228",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075159",
            "telephone_number": "209-490-5050",
            "fax_number": "209-779-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 DECLARATION DR",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959734900",
            "telephone_number": "530-894-6832",
            "fax_number": "530-342-4199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1888 Hardial Dr",
            "address_purpose": "LOCATION",
            "city": "Yuba City",
            "state": "CA",
            "postal_code": "959939430",
            "country_code": "US",
            "telephone_number": "530-300-1027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 Club Dr",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "94592",
            "country_code": "US",
            "telephone_number": "707-638-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "296 Cottage Ave",
            "address_purpose": "LOCATION",
            "city": "Manteca",
            "state": "CA",
            "postal_code": "953364942",
            "country_code": "US",
            "telephone_number": "209-624-7006",
            "fax_number": "209-554-4601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAKHAR",
        "first_name": "GAGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA56910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Gtakhar@hodarimd.com",
            "affiliation": "N",
            "address_1": "80 Declaration Dr",
            "city": "Chico",
            "state": "CA",
            "country_code": "US",
            "postal_code": "959734900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.