Individual provider Active NPI

Hiromi Takano, D.O.

  • Family Medicine Physician
  • Redding, CA
National Provider Identifier
1568996262
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A16639 Issued in CA
Practice address
2480 Sonoma St
Redding, CA 96001-3027
Phone
(530) 225-7800
NPI assigned
Apr 19, 2017
Last updated
Jun 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA
Family Medicine Physician 207Q00000X 20A16639 CA Primary

Addresses

Primary practice location

2480 Sonoma St
Redding, CA 96001-3027

Mailing address

2175 Rosaline Ave
Redding, CA 96001-2549

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
I20190218002044 CA Practitioner - Family Practice 0446500763 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A16639CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group Family Medicine CurrentSince Aug 17, 2020 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Aug 17, 2020 Accepting new patients
Gateway Medical Services, Inc. Family Medicine CurrentSince Nov 1, 2018 Accepting new patients
Gateway Medical Center Inc PastSince Feb 15, 2014 Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

3082 McMurray Dr
Anderson, CA 96007
Phone (530) 365-4412

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

9461 Deschutes Rd
Ste 4
Palo Cedro, CA 96073
Phone (530) 365-1833

1310 Churn Creek Rd
Ste E5
Redding, CA 96003
Phone (530) 722-9907

601 Torrance Blvd
Redondo Beach, CA 90277
Phone (310) 316-0811

Organizations & group practices 4

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": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1568996262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 ROSALINE AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 SONOMA ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013027",
            "telephone_number": "530-225-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKANO",
        "first_name": "HIROMI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-19",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A16639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.