Lloyd Heisaburo Takao, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G29936 Issued in CA

Practice address

15 Altarinda Road
Suite 100
Orinda, CA 94563

Phone

(925) 253-1199

Fax

(925) 253-1110

NPI assigned

Sep 7, 2006

Last updated

Oct 30, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Pediatric Medicine

Education

Other, 1974

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ltakao106881@direct-ucsfmedicalcenter.org

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.

• Jiva Health, Inc

  • Internal Medicine Physician
  • Concord, CA
  • NPI 1285223552
  Medicare reassignment NPD (past)
• Lloyd H Takao MD

  • Pediatrics Physician
  • Orinda, CA
  • NPI 1508427527
  Authorized official Same address or phone
• Alta Bates Summit Medical Center

  dba Merritt Peralta Insititute

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Oakland, CA
  • NPI 1043358542
  NPD (past)
• Children's Hospital & Research Center at Oakland

  dba UCSF Benioff Children's Hospital Oakland

  • General Acute Care Hospital
  • Oakland, CA
  • NPI 1003961251
  NPD (past)
• John Muir Health

  • Rehabilitation Hospital Unit
  • Walnut Creek, CA
  • NPI 1447269303
  NPD (past)
• Sutter Bay Hospitals

  dba Alta Bates Summit Medical Center - Summit Campus

  • Rehabilitation Hospital Unit
  • Oakland, CA
  • NPI 1194171371
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1619070273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ALTARINDA ROAD",
            "address_2": "SUITE 100",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "94563",
            "telephone_number": "925-253-1199",
            "fax_number": "925-253-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ALTARINDA ROAD",
            "address_2": "SUITE 100",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "94563",
            "telephone_number": "925-253-1199",
            "fax_number": "925-253-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKAO",
        "first_name": "LLOYD",
        "middle_name": "HEISABURO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G29936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Pediatric Medical Group Inc
• Hank Haw Sun, MD
• Sutter Bay Medical Foundation (Sutter East Bay Medical Foundation)
• Sutter East Bay Medical Foundation
• Erika Noelle Swanson I, PHD
• Matthew Tamplen, M.D.
• Shoshana Taubman, PSY.D.
• Cecelia Thomas, D.D.S.
• Laro Virginia Thompson, PH.D
• Lisa Thompson, LCSW

• Pediatrics Physician in Orinda, CA
• Providers in Orinda, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.