Individual provider Active NPI

Natsuko Takakuwa, MD

  • Pediatrics Physician
  • Oakland, CA
National Provider Identifier
1689093049
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A139501 Issued in CA
Practice address
818 Webster Street
Oakland, CA 94607
Phone
(510) 986-6800
Fax
(510) 986-6896
NPI assigned
Apr 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X A139501 CA Primary

Addresses

Primary practice location

818 Webster Street
Oakland, CA 94607

Mailing address

818 Webster Street
Oakland, CA 94607
Phone (510) 986-6800

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170926003712 CA Practitioner - Pediatric Medicine 2961776190 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A139501CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asian Health Services CurrentSince Aug 28, 2017 Accepting new patients
Asian Health Services CurrentSince Aug 28, 2017 Accepting new patients
Asian Health Services Past Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

818 Webster St
Oakland, CA 94607
Phone (510) 986-6800

101 8th St
Ste 100
Oakland, CA 94607
Phone (510) 735-3100

Interoperability endpoints

  • Direct secure messaging: ntakakuwa273745@direct.ochin.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1689093049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 WEBSTER STREET",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94607",
            "telephone_number": "510-986-6800",
            "fax_number": "510-986-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 WEBSTER STREET",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94607",
            "telephone_number": "510-986-6800",
            "fax_number": "510-986-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKAKUWA",
        "first_name": "NATSUKO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A139501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.