Active NPI
Richard Taketa, M.D.
- Diagnostic Radiology Physician
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A23741
- Practice address
- 16100 Sand Canyon Ave
Suite 100
Irvine, CA 92618-3716 - Phone
- (949) 417-1100
- Fax
- (949) 417-1165
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | A23741 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | A23741 | CA | Primary |
Addresses
Primary practice location
16100 Sand Canyon Ave
Suite 100
Irvine, CA 92618-3716
Mailing address
Dept la 21555
Pasadena, CA 91185-1555
Phone (949) 764-5570
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A237410 | Other | CA | BLUE SHIELD |
| 00A237410 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newport Harbor Radiology Associates Medical Group, Inc | Nuclear Medicine | Current | Accepting new patients |
| Hoag Memorial Hospital Presbyterian | Past | Accepting new patients | |
| Newport Center Radiology Associates Medical Group Inc | Nuclear Medicine | Past | Accepting new patients |
Locations
16200 Sand Canyon Ave
Irvine, CA 92618
Phone (949) 753-2000
18301 Von Karman Ave
Ste 310
Irvine, CA 92612
Phone (949) 645-3534
1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624
Dept LA 21555
Pasadena, CA 91185
Phone (949) 236-8620
Organizations & group practices 3
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.
-
- Diagnostic Radiology Physician
- Newport Beach, CA
- NPI 1053355792
Nuclear Medicine
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
dba Newport Imaging Center
- Diagnostic Radiology Physician
- Newport Beach, CA
- NPI 1013951714
Nuclear Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357689600000",
"number": "1639113269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT LA 21555",
"city": "PASADENA",
"state": "CA",
"postal_code": "911851555",
"telephone_number": "949-764-5570",
"fax_number": "949-263-1639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16100 SAND CANYON AVE",
"address_2": "SUITE 100",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183716",
"telephone_number": "949-417-1100",
"fax_number": "949-417-1165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAKETA",
"first_name": "RICHARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2013-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "CA",
"license": "A23741",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A23741",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00A237410",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A237410",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.