Tamara Nicole Taketani, MD

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

A101084 Issued in CA

Practice address

5333 Hollister Ave
Suite 250
Santa Barbara, CA 93111-2341

Phone

(805) 569-7876

Fax

(805) 569-8398

NPI assigned

Mar 10, 2008

Sex

Female

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Cottage Clinical Associates

  • Multi-Specialty Clinic/Center
  • Santa Barbara, CA
  • NPI 1235790544
  Medicare reassignment NPD
• Cottage Medical Foundation

  • Clinic/Center
  • Santa Barbara, CA
  • NPI 1770352130
  Medicare reassignment NPD
• County of Ventura

  • General Acute Care Hospital
  • Ventura, CA
  • NPI 1629167457
  NPD (past)
• Goleta Valley Cottage Hospital

  • Skilled Nursing Facility
  • Goleta, CA
  • NPI 1679587224
  NPD (past)
• Sansum Clinic

  • Ambulatory Surgical Clinic/Center
  • Santa Barbara, CA
  • NPI 1649296807
  NPD (past)
• Santa Barbara Cottage Hospital

  • General Acute Care Hospital
  • Santa Barbara, CA
  • NPI 1477554152
  NPD (past)

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1669642385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 HOLLISTER AVE",
            "address_2": "SUITE 250",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112341",
            "telephone_number": "805-569-7876",
            "fax_number": "805-569-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 HOLLISTER AVE",
            "address_2": "SUITE 250",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112341",
            "telephone_number": "805-569-7876",
            "fax_number": "805-569-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKETANI",
        "first_name": "TAMARA",
        "middle_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-10",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "CA",
            "license": "A101084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ida Taghavi
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• Julie A Taguchi, M.D.
• Tahsin Tahia
• Sylvia Talaugon
• Shudina Rochelle Talbert
• Derek Talbott
• Anjali Anand Talcherkar
• Ava Talehakimi

• Pediatric Gastroenterology Physician in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Pediatric Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.