Individual provider Active NPI

Angelika Deloa, MD

  • Family Medicine Physician
  • Sacramento, CA
National Provider Identifier
1548490964
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A121429 Issued in CA
Practice address
500 University Ave Ste 112
Sacramento, CA 95825-6514
Phone
(916) 570-2850
Fax
(916) 570-2854
NPI assigned
Jul 20, 2009
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD203714 OR
Family Medicine Physician 207Q00000X ML60095740 WA
Family Medicine Physician 207Q00000X A121429 CA Primary

Addresses

Primary practice location

500 University Ave Ste 112
Sacramento, CA 95825-6514

Mailing address

3010 Beard Rd
Napa, CA 94558-3442
Phone (707) 255-8825

Other names 1

  • Angelika Takacs Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120719000276 CA Practitioner - Family Practice 1951567973 Reassigns benefits to 2 organizations
I20210715003125 OR Practitioner - Family Practice 1951567973

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A121429CAMDFamily Medicine Physician
MD203714ORMDFamily Medicine Physician
ML60095740WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Discover Health Medical Group 2, Inc. Family Medicine CurrentSince Oct 8, 2022 Accepting new patients
Sansum Clinic CurrentSince Jul 1, 2018 Accepting new patients
Sansum Clinic Current Accepting new patients
Scott M Wigginton MD Inc CurrentSince Oct 8, 2022 Accepting new patients
Lou Nishimura MD Inc Current Accepting new patients
Sansum Clinic CurrentSince Jul 1, 2018 Accepting new patients
The Medcenter, Inc. Family Medicine PastSince May 27, 2017 Accepting new patients

Locations

6500 Coyle Ave
Ste 1
Carmichael, CA 95608
Phone (916) 961-8580

4806 Carpinteria Ave
Carpinteria, CA 93013
Phone (805) 566-5077

3010 Beard Rd
Napa, CA 94558
Phone (707) 257-1550

500 University Ave
Ste 112
Sacramento, CA 95825
Phone (916) 570-2850

215 Pesetas Ln
Santa Barbara, CA 93110
Phone (805) 681-1765

2400 Bath St
Ste 202
Santa Barbara, CA 93105
Phone (805) 682-3771

Interoperability endpoints

  • Direct secure messaging: angelika.deloa@214522098548740.direct.elationemr.com
  • FHIR API: https://api.platform.athenahealth.com/10147/brand/1/csg/1/fhir/r4

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1548490964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 BEARD RD",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583442",
            "telephone_number": "707-255-8825",
            "fax_number": "707-252-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY AVE STE 112",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256514",
            "telephone_number": "916-570-2850",
            "fax_number": "916-570-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOA",
        "first_name": "ANGELIKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2023-01-05",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD203714",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "ML60095740",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A121429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELIKA",
            "last_name": "TAKACS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.