Alex Takeda, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34757 Issued in CA

Practice address

915 21St St
Sacramento, CA 95811-3117

Phone

(916) 448-6622

Fax

(916) 448-6686

NPI assigned

Jan 8, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Donald J. Yee, OD Inc

  • Optometrist
  • Sacramento, CA
  • NPI 1760668057
  NPD
• Dr. Norman Takeda

  • Optometrist
  • Sacramento, CA
  • NPI 1518141928
  NPD (past)

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1790373363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 21ST ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958113117",
            "telephone_number": "916-448-6622",
            "fax_number": "916-448-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 21ST ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958113117",
            "telephone_number": "916-448-6622",
            "fax_number": "916-448-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKEDA",
        "first_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-08",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernest K Takahashi, OD
• Matthew Gregory Takamoto, LCSW
• Skylar K Takata
• Stacy Takayama
• Naomi Takayesu, PHARM.D.
• Norman Lee Takeda, O.D.
• Patricia A Takeda
• Sarah Rae Takekawa, MD
• Greg Stuart Takemoto, M.D.
• Lannette Takemoto

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.