Tayem Taka, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

108935 Issued in CA

Practice address

39209 Winchester Rd Ste 100
Murrieta, CA 92563-3513

Phone

(760) 693-7823

NPI assigned

Jul 12, 2023

Sex

Male

Sole proprietor

No

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Al-Saadi Taka Dental Corporation

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1073487443
  NPD Authorized official

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1649959164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30222 WOODLAND HILLS ST",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925633390",
            "telephone_number": "760-693-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39209 WINCHESTER RD STE 100",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925633513",
            "telephone_number": "760-693-7823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKA",
        "first_name": "TAYEM",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "108935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Louie Ray Tagulao, PT, DPT
• Tahe Mobility LLC
• Melissa Taheri
• Mitra Tahiree, RDA
• Frashta Tahiry
• Varun Talanki, M.D.
• Talha Memon M.D. Inc.
• Talna Hospice Care
• Jeremiah M Tampoya, O.D.
• Dexter Tan, PT

• General Practice Dentistry in Murrieta, CA
• Providers in Murrieta, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.