Individual provider Active NPI

Trevor Takeyama, DPM

  • Foot & Ankle Surgery Podiatrist
  • Oxnard, CA
National Provider Identifier
1780253450
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5828 Issued in CA
Practice address
2100 Solar Dr Ste 102
Oxnard, CA 93036-0649
Phone
(805) 988-3338
Fax
(805) 830-1537
NPI assigned
Jun 17, 2021
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5828 CA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X EL6910 CA

Addresses

Primary practice location

2100 Solar Dr Ste 102
Oxnard, CA 93036-0649

Mailing address

2100 Solar Dr Ste 102
Oxnard, CA 93036-0649
Phone (805) 988-3338

Other practice location 1

3801 Miranda Ave
Palo Alto, CA 94304-1207
Phone (818) 314-1807

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220609002727 CA Practitioner - Podiatry 1658759212 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Concepts IncGroup PAC ID 5395770085, 10 clinicians

Practice addresses (Care Compare)

2100 Solar Dr
Suite 102
Oxnard, CA 93036-0649
Phone (805) 988-3338

Merit-based Incentive Payment System (MIPS)

Final score
90 of 100Reported as group
Quality
62.38
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue112
Removal of skin lesions1-10
Removal of nail tissue447
Removal or shaving of skin growth303
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5828CAMDFoot & Ankle Surgery Podiatrist
EL6910CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Concepts, Inc Foot & Ankle Surgery CurrentSince Aug 1, 2025 Accepting new patients
Orange County Foot and Ankle Group, Inc. Foot & Ankle Surgery CurrentSince Jun 3, 2022 Accepting new patients
Agoura-Los Robles Podiatry Centers Foot & Ankle Surgery CurrentSince Sep 1, 2023 Accepting new patients
Orange County Foot & Ankle Group, Inc. Foot & Ankle Surgery PastSince Jun 3, 2022 Accepting new patients

Locations

5115 Clareton Dr
Ste 120
Agoura Hills, CA 91301
Phone (805) 497-6979

3901 Las Posas Rd
Ste 204
Camarillo, CA 93010
Phone (805) 383-2929

300 N Euclid St
#A
Fullerton, CA 92832
Phone (714) 888-6860

2100 Solar Dr
Ste 102
Oxnard, CA 93036
Phone (805) 650-8333

650 Commerce Ave
Ste D
Palmdale, CA 93551
Phone (661) 272-6898

302 N Milpas St
Santa Barbara, CA 93103
Phone (805) 845-1245

125 Parrot Ln
Simi Valley, CA 93065
Phone (805) 584-3668

3180 Willow Ln
Ste 108
Thousand Oaks, CA 91361
Phone (805) 370-3338

425 Haaland Dr
Ste 201
Thousand Oaks, CA 91361
Phone (805) 496-2383

555 Marin St
Ste 290
Thousand Oaks, CA 91360
Phone (805) 497-6979

2492 Walnut Ave
Ste 220
Tustin, CA 92780
Phone (714) 888-6860

250 S Mills Rd
Ste 101
Ventura, CA 93003
Phone (805) 650-8333

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1780253450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SOLAR DR STE 102",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360649",
            "telephone_number": "805-988-3338",
            "fax_number": "805-830-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SOLAR DR STE 102",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360649",
            "telephone_number": "805-988-3338",
            "fax_number": "805-830-1537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 Miranda Ave",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943041207",
            "country_code": "US",
            "telephone_number": "818-314-1807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAKEYAMA",
        "first_name": "TREVOR",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-17",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5828",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "EL6910",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.