Agi Naya Takinan

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

95023983 Issued in CA

Practice address

5 Medical Plaza Dr Ste 190
Roseville, CA 95661-2867

Phone

(916) 679-3590

NPI assigned

Aug 21, 2019

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

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pulmonary Medicine Associates Medical Group Inc.Group PAC ID 4981506730, 93 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
• Northbay Medical Center Hospital, Fairfield, CA, CCN 050367
• Vibra Hospital of Sacramento Long-term care hospital, Folsom, CA, CCN 052033

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: atakinan58990@epicdirect.rwjbh.org
• Direct secure messaging: atakinan684961@hisp.ehr.sutterhealth.org

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.

• Pulmonary Medicine Associates Medical Group, Inc

  • Pulmonary Disease Physician
  • Roseville, CA
  • NPI 1407880719
  Medicare reassignment Care Compare group NPD
• Amplehealth

  • Internal Medicine Physician
  • Carmichael, CA
  • NPI 1508899758
  Medicare reassignment NPD
• 1125 Sir Francis Drake Boulevard Operating Company, LLC

  dba Kentfield Rehabilitation & Specialty Hospital

  • Long Term Care Hospital
  • Kentfield, CA
  • NPI 1760424261
  NPD
• Pulmonary Medicine Associates Sleep Lab Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Sacramento, CA
  • NPI 1255359378
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northbay Healthcare Group

  dba dba NorthBay Medical Center

  • General Acute Care Hospital
  • Fairfield, CA
  • NPI 1821147786
  Care Compare affiliation
• Sutter Valley Hospitals

  dba Sutter Roseville Medical Center

  • General Acute Care Hospital
  • Roseville, CA
  • NPI 1356390264
  Care Compare affiliation
• Vibra Hospital of Sacramento LLC

  dba Vibra Hospital of Sacramento

  • Long Term Care Hospital
  • Folsom, CA
  • NPI 1134564693

  Long-term care hospital

  Care Compare affiliation

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1760039119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 ETHAN WAY STE 600",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PLAZA DR STE 190",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612867",
            "telephone_number": "916-679-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKINAN",
        "first_name": "AGI NAYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95023983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "KNJHospitalist",
            "affiliation": "N",
            "endpointDescription": "Organization",
            "address_1": "98 James St",
            "city": "Edison",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088203902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joslyn Takagishi
• Kimberly Keiko Takahashi, MD
• Todd Takahashi
• Karen Takayama
• Kelsey Takemoto, MA, LMFT
• Dunya Talabani
• Talal H. Alsaleem, LMFT (Happily Ever After Retreats--Couples Counseling and Coaching)
• Talk It Out Relationship Education Services, Inc.
• Talking Turtles Speech
• Sarah W.T. Tam, DDS, BDSC

• Acute Care Nurse Practitioner in Roseville, CA
• Providers in Roseville, CA by specialty
• Acute Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.