Individual provider Active NPI

Ty Kenji Takitani, D.C.

  • Chiropractor
  • Hacienda Heights, CA
National Provider Identifier
1497895031
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC24843 Issued in CA
Practice address
3180 Colima Rd
Suite a
Hacienda Heights, CA 91745-6315
Phone
(626) 369-7077
Fax
(626) 369-0175
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC24843 CA Primary

Addresses

Primary practice location

3180 Colima Rd
Suite a
Hacienda Heights, CA 91745-6315

Mailing address

3180 Colima Rd
Suite a
Hacienda Heights, CA 91745-6315
Phone (626) 369-7077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC24843CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497895031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 COLIMA RD",
            "address_2": "SUITE A",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456315",
            "telephone_number": "626-369-7077",
            "fax_number": "626-369-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 COLIMA RD",
            "address_2": "SUITE A",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456315",
            "telephone_number": "626-369-7077",
            "fax_number": "626-369-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKITANI",
        "first_name": "TY",
        "middle_name": "KENJI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hacienda Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.