Daniel R Taketa, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

7368TPA Issued in CA

Practice address

611 E Ocean Ave
Lompoc, CA 93436-6914

Phone

(805) 736-7010

Fax

(805) 736-7589

NPI assigned

Aug 31, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265932800000",
    "number": "1669583738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E OCEAN AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366914",
            "telephone_number": "805-736-7010",
            "fax_number": "805-736-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E OCEAN AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366914",
            "telephone_number": "805-736-7010",
            "fax_number": "805-736-7589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKETA",
        "first_name": "DANIEL",
        "middle_name": "R",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7368TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0073680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohammad A Tabek Bakir, M.D.
• Brian J Taber, M.D.
• Alexa Tackett, M.S., CCC-SLP
• Christopher Robert Taglia, M.D.
• Danny Michael Takaoka
• Sandra Talamantes, MSW
• Liliana Andrea Tapia, PT29264
• Jason Barton Tarman, M.S.
• Bobbi Lynn Taylor-Thomas
• Melissa Taylor

• Optometrist in Lompoc, CA
• Providers in Lompoc, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.